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Individual

MR. LUCAS JASON BAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
415 E SIDE TRL, OAKLAND, ME 04963-4462
(207) 465-7271
Mailing address
415 E SIDE TRL, OAKLAND, ME 04963-4462
(207) 465-7271

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5089
ME

Other

Enumeration date
08/13/2005
Last updated
09/20/2009
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