| Lashelbraycm | |
|
99 Back Searsport Rd Searsport ME 04974 | |
| (207) 930-9465 | |
| Not Available |
| Full Name | Lashelbraycm |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 99 Back Searsport Rd, Searsport, Maine |
| Authorized Official Name and Position | Latisha A Baird (EXECUTIVE ADM) |
| Authorized Official Contact | 2075058603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lashelbraycm 99 Back Searsport Rd Searsport ME 04974-3627 Ph: (207) 930-9465 | Lashelbraycm 99 Back Searsport Rd Searsport ME 04974 Ph: (207) 930-9465 |
| NPI Number | 1851856397 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851856397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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