Healthcare Provider Details
I. General information
NPI: 1902242704
Provider Name (Legal Business Name): JANESSA DREW LEGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2013
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
181 MAIN ST STE 201
NORWAY ME
04268-5664
US
IV. Provider business mailing address
181 MAIN ST STE 201
NORWAY ME
04268-5664
US
V. Phone/Fax
- Phone: 207-743-5933
- Fax: 207-743-1566
- Phone: 207-743-5933
- Fax: 207-743-1566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD20884 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: