Doctor Name: | AMIE LAVWAY |
NPI Number: | 1073638284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | MT3234 |
Business Practice Address: | 1 City Ctr Portland, ME - 041016420 |
Business Phone Number: | 2077737788 |
Business Fax Number: | 2077737711 |
Mailing Address: | 12 Hanover St Apt 3, PORTLAND |
State: | ME |
Postal Code: | 041012971 |
Phone Number: | 2077737788 |
Fax Number: | 2077737711 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MT3234 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |