Healthcare Provider Details

I. General information

NPI: 1205248358
Provider Name (Legal Business Name): LAUREN JAMELE-TOWNLEY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2014
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BOWDOIN MILL IS
TOPSHAM ME
04086-1263
US

IV. Provider business mailing address

9 BOWDOIN MILL IS
TOPSHAM ME
04086-1263
US

V. Phone/Fax

Practice location:
  • Phone: 207-406-4462
  • Fax: 207-518-8961
Mailing address:
  • Phone: 207-406-4462
  • Fax: 207-518-8961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO2704
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: