Individual
MRS. A. THEODATE LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 UNION ST, ORONO, ME 04473-3860
(207) 866-3244
Mailing address
36 UNION ST, ORONO, ME 04473-3860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT87
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT87
MAINECARE
ME
Enumeration date
09/03/2010
Last updated
09/03/2010
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