NPI 1154826824 · live from the CMS NPI Registry
Lauren Ko, MD
Dermatology in Portland, ME. National Provider Identifier 1154826824, active.
NPI record
| NPI | 1154826824 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 50 Sewall St, Portland, ME 04102 |
| Practice phone | 207-775-3526 |
| Mailing address | 50 Sewall St Ste 302, Portland, ME 04102 |
| Enumerated | March 26, 2018 |
| Last updated | August 28, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD26766 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.