Individual
LEAH K BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102
(207) 662-2221
(207) 662-6348
Mailing address
PO BOX 16023, LEWISTON, ME 04243
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L-239982
MA
2084P0800X
Psychiatry Physician
MD19699
ME
Other
Enumeration date
06/19/2009
Last updated
09/12/2013
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