Luke W Ballenger III MD

NPI 1093744237 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1093744237
Gender Male
Enumeration Date 07/01/2006
Last Updated 02/16/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
LEWISTON ME, 04240-6040, US
Phone (207) 777-8974
Fax (207) 777-8946
Business Location
PO BOX 4140
BOSTON MA, 02241, US
Phone (207) 777-4111
Fax (207) 783-6660
Taxonomy Code 2084P0800X
License State Maine
License Number 014003
Remove 1093744237 NPI Number

According to our database, Dr. Luke W Ballenger III MD NPI is 1093744237, taxonomy code is 2084P0800X and license number is 014003, license state is located at Maine. Luke W Ballenger III MD physically located at 100 Campus Ave, Lewiston ME, 04240-6040. NPI Number Luke W Ballenger III MD has the Individual type.

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1093744237 NPI number is provided on an as is basis without warranty of any kind. 1093744237 is maintained by the National Plan & Provider Enumeration System. The contents of Luke W Ballenger III MD are for informational purposes only.