Individual
JANET S HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
59 EAST AVE, LEWISTON, ME 04240
(207) 784-1680
Mailing address
265 MAIN ST STE 201, BIDDEFORD, ME 04005-3091
(800) 683-8313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2096
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096
MAINE MEDICAL LICENSE NUMBER
ME
05
—
434041299
—
ME
Enumeration date
04/22/2009
Last updated
08/15/2018
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