Organization
BATES MILL DERMATOLOGY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN G LEONARD (PRACTICE MANAGER)
(207) 795-7540
Entity
Organization
Contact information
Practice address
70 LINCOLN ST, MILL 6, LEWISTON, ME 04240-7721
(207) 795-7540
(207) 795-7528
Mailing address
70 LINCOLN ST, MILL 6, LEWISTON, ME 04240-7721
(207) 795-7540
(207) 795-7528
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
016653
ME
Other
Enumeration date
07/14/2006
Last updated
12/13/2021
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