Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD12553 | ME |
NPI | 1023014198 |
---|---|
Provider Name | Linda K Morrison |
First Address | Portland, ME 04104-5040 |
Second Address | Portland, ME 04103-5545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 05/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A15478 | (02) | ME |