Individual
LAWRENCE D ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102
(207) 773-8161
(207) 773-1489
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-143
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296130099
—
ME
Enumeration date
08/12/2006
Last updated
01/18/2013
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