Individual
LEAH AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 SCHOOL ST, RANDOLPH, ME 04346-5143
(207) 588-2699
Mailing address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
(207) 333-3501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT1655
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431920799
—
ME
Enumeration date
04/28/2009
Last updated
10/21/2024
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