Lawrence D Adrian, P.A.-C
Physician Assistant, Surgical in Portland, ME. Individual provider (NPI-1).
NPI number1891707493
StatusActive
Last updated in NPPESJan 18, 2013
Details
- NPI
- 1891707493
- Entity type
- Individual (NPI-1)
- Name
- Lawrence D Adrian
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2006
- Last updated
- Jan 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA-143 | ME | Yes |
Practice location
818 Congress StPortland, ME 04102
Phone 207-773-8161 · Fax 207-773-1489
Mailing address
301c Us Route OneScarborough, ME 04074
Phone 207-396-8600 · Fax 207-396-8632
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