Individual provider · NPI-1
Laura A Anderson, M.D.
Hospitalist · Portland, ME
NPI number1639439615
StatusActive
Last updated in NPPESJul 1, 2015
Details
- NPI
- 1639439615
- Entity type
- Individual (NPI-1)
- Name
- Laura A Anderson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2012
- Last updated
- Jul 1, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD20631 | ME | Yes |
Other names
- Laura Merkel (Former Name)
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-0111
Mailing address
22 Bramhall StPortland, ME 04102-3134
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