Individual
LANIE A DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
899 CENTRAL ST, MILLINOCKET, ME 04462-2125
(207) 723-6450
(207) 723-3008
Mailing address
200 SOMERSET ST, MILLINOCKET, ME 04462-1298
(207) 723-5161
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT1556
ME
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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