Healthcare Provider Details

I. General information

NPI: 1821922949
Provider Name (Legal Business Name): DANIELLE LANPHERE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MEDICAL CENTER PKWY
AUGUSTA ME
04330-8160
US

IV. Provider business mailing address

35 MEDICAL CENTER PKWY
AUGUSTA ME
04330-8160
US

V. Phone/Fax

Practice location:
  • Phone: 207-621-3639
  • Fax: 207-626-1827
Mailing address:
  • Phone: 207-621-3639
  • Fax: 207-626-1827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberST4625
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: