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General NPI Number Information
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NPI Number | 1609988914
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Entity Type | Individual
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Provider Name | PAUL J LAPRAD MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 121 MEDICAL CENTER DRIVE SUITE 3300
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City | BRUNSWICK
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State | ME
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Zip | 04011
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Country | US
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Telephone | 207-373-6490
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Fax | 207-373-6491
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Provider Business Mailing Address
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Address Line | 121 MEDICAL CENTER DR STE 3300
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City | BRUNSWICK
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State | ME
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Zip | 04011-2674
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Country | US
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Telephone | 207-721-8770
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Fax | 207-721-8785
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 014144
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License Number State | ME
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