Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 012277 | ME |
NPI | 1013988559 |
---|---|
Provider Name | Dr. Michael C. Lemieux |
First Address | Waterville, ME 04963 |
Second Address | Waterville, ME 04963 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 12/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
106880099 | (05) | ME |
D03610 | (02) | ME |