Individual
LAURIE A CHURCHILL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-7521
Mailing address
30 GERMAIN ST, CALAIS, ME 04619-1527
(207) 454-3836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012050
ME
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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