Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 011509 | ME |
NPI | 1003933805 |
---|---|
Provider Name | Murray Dana Lebowitz |
First Address | Brewer, ME 04412-1006 |
Second Address | Bangor, ME 04401-6630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2007 |
Last Update Date | 15/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002516 | ANTHEM OF MAINE (01) | ME |
1042118 | AETNA (01) | ME |
311340099 | (05) | ME |
E27002 | (02) |