NPI 1710061494 · live from the CMS NPI Registry
Maine Dermatology, LLC
Dermatology in Lincolnville, ME. National Provider Identifier 1710061494, active.
NPI record
| NPI | 1710061494 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2239 Atlantic Hwy, Lincolnville, ME 04849 |
| Practice phone | 207-230-1007 |
| Enumerated | October 25, 2006 |
| Last updated | June 3, 2008 |
| Authorized official | Charmaine Jensen, Owner/ Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 1822 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.