Healthcare Provider Details
I. General information
NPI: 1699304857
Provider Name (Legal Business Name): LAUREN KASCAK TOFT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2020
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
92 CAMPUS DR STE B
SCARBOROUGH ME
04074-7229
US
IV. Provider business mailing address
92 CAMPUS DR STE B
SCARBOROUGH ME
04074-7229
US
V. Phone/Fax
- Phone: 207-883-1414
- Fax: 207-883-1010
- Phone: 207-883-1414
- Fax: 207-883-1010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 78103 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | MD29375 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: