Individual
ANDREA LYNN GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 784-0108
Mailing address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 784-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03190082
ME
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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