Individual
BRENTEN LAFFELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 ELM ST, BRUNSWICK, ME 04011-2422
(207) 729-1604
Mailing address
1 CAMILLE DR, LISBON, ME 04250-6028
(207) 751-0239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR69395
ME
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI45608
ME
Other
Enumeration date
07/26/2017
Last updated
02/27/2026
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