Amanda J Gagnon, DO
Pediatrics in Lewiston, ME. Individual provider (NPI-1).
NPI number1316574635
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1316574635
- Entity type
- Individual (NPI-1)
- Name
- Amanda J Gagnon
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Aug 25, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | DO3559 | ME | Yes |
| 208M00000X | Hospitalist | DO3559 | ME |
Practice location
300 Main StLewiston, ME 04240-7027
Phone 207-662-0111
Mailing address
300 Main StLewiston, ME 04240-7027
Other practice locations
22 Bramhall St
Portland, ME 04102-3134
Portland, ME 04102-3134
Phone 207-662-0111
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All 26 Pediatrics Physician providers in Lewiston · All 2,175 providers in Lewiston
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