LAKE REGION FAMILY FOOT & ANKLE CENTER; NPI #1255339446

Contact Information

LAKE REGION FAMILY FOOT & ANKLE CENTER

211 TANDBERG TRL
WINDHAM, ME 04062-5100

Phone: 207-893-1989
Fax: 207-893-0190
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for LAKE REGION FAMILY FOOT & ANKLE CENTER

NPI Number 1255339446

LBN Legal business name LAKE REGION FAMILY FOOT & ANKLE CENTER

Authorized official ROBBIN FROST - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2005

Last updated 08/04/2011 - About 15 years ago

Identifiers

ME	License #	POD221
ME	Medicaid	156880000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LAKE REGION FAMILY FOOT & ANKLE CENTER

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for LAKE REGION FAMILY FOOT & ANKLE CENTER

Reviews for LAKE REGION FAMILY FOOT & ANKLE CENTER