Individual
DR. LAUREN T WENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 661-2000
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-0000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD21026
ME
207P00000X
Emergency Medicine Physician
MD450106
PA
207P00000X
Emergency Medicine Physician
MT199357
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801181904
—
ME
Enumeration date
06/16/2011
Last updated
04/27/2017
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