Lewis Mehl Madrona MD Phd & Associates
Family Medicine in Orono, ME. Organization (NPI-2).
NPI number1962228536
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1962228536
- Entity type
- Organization (NPI-2)
- Legal business name
- Lewis Mehl Madrona MD Phd & Associates
- Organization subpart
- No
- Enumeration date
- Nov 28, 2024
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Maine Street Integrative Medicine (Doing Business As)
Practice location
288 Main StOrono, ME 04473-3433
Phone 808-772-1099 · Fax 207-406-5354
Mailing address
288 Main StOrono, ME 04473-3433
Phone 808-772-1099 · Fax 207-406-5354
Authorized official
Lewis Mehl-Madrona
Owner
8087721099
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