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NPI Code Detail

MEDICARE: LAKE REGION FAMILY FOOT & ANKLE CENTER

MEDICARE: LAKE REGION FAMILY FOOT & ANKLE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPOD221ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255339446
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE REGION FAMILY FOOT & ANKLE CENTER
Provider Business Mailing Address
First Line : 211 TANDBERG TRL
Second Line :
City : WINDHAM
State : ME
Zip : 04062-5100
Country : US
Telephone Number : 207-893-1989
Fax Number : 207-893-0190
Provider Business Practice Location Address
First Line : 211 TANDBERG TRL
Second Line :
City : WINDHAM
State : ME
Zip : 04062-5100
Country : US
Telephone Number : 207-893-1989
Fax Number : 207-893-0190
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROBBIN W FROST
Credential : D.P.M.
Telephone Number : 207-893-1989
Provider Enumeration Date : 07/12/2005
Last Update Date : 08/04/2011

Similar Medicare Providers

1902937436 — DR. ROBBIN W FROST DPM
Practice Location Address:
211 TANDBERG TRL
WINDHAM, ME
04062-5100
Practice Phone: 207-893-1989
Practice Fax: 207-893-0190
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1851551097 — CHRISTINE R MAHONEY DO
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Practice Fax:
1295452076 — SHALLEIGH MARIE WILLIAMS LADC
Practice Location Address:
770 ROOSEVELT TRL STE 8
NORTH WINDHAM, ME
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Practice Fax:
1649415845 — MS. LINDA HELEN LAVALLEE ANP-BC
Practice Location Address:
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1104772730 — MAKAYLA BROOKE MARTIN
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Practice Fax:

Directions to “LAKE REGION FAMILY FOOT & ANKLE CENTER ” Practice Location

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