| |
40 Forest Falls Dr Ste 305 Yarmouth ME 04096-7010 | |
(207) 977-4700 | |
(207) 977-4900 |
Full Name | |
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Speciality | Dietitian, Registered |
Location | 40 Forest Falls Dr Ste 305, Yarmouth, Maine |
Authorized Official Name and Position | Lauren Withers (DIETITIAN/OWNER) |
Authorized Official Contact | 2079774700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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40 Forest Falls Dr Ste 305 Yarmouth ME 04096-7010 Ph: (207) 977-4700 | 40 Forest Falls Dr Ste 305 Yarmouth ME 04096-7010 Ph: (207) 977-4700 |
NPI Number | 1427728773 |
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Provider Enumeration Date | 09/17/2021 |
Last Update Date | 01/09/2025 |
Certification Date | 01/09/2025 |
Identifier | Type | State | Issuer |
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1427728773 | NPI | - | NPPES |
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