Doctor Name: | MS. MARY BARNETT LAUGHLIN |
NPI Number: | 1760565345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | PA716 |
Business Practice Address: | 1 Va Center Augusta Va Augusta, ME - 04330 |
Business Phone Number: | 2076238411 |
Business Fax Number: | |
Mailing Address: | Po Box 3, LIMINGTON |
State: | ME |
Postal Code: | 040490003 |
Phone Number: | 2076372380 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | PA716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |