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NPI Code Detail

MEDICARE: ELENA LAMPROS NAWFEL MD

MEDICARE: ELENA LAMPROS NAWFEL MD
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
1207RX0202XMedical Oncology Physician016000ME

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 : 1376519827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA LAMPROS NAWFEL MD
Provider Business Mailing Address
First Line : 361 OLD BELGRADE RD
Second Line : ALFOND CANCER CENTER
City : AUGUSTA
State : ME
Zip : 04330-8058
Country : US
Telephone Number : 207-621-6100
Fax Number : 207-621-6102
Provider Business Practice Location Address
First Line : 361 OLD BELGRADE RD
Second Line : ALFOND CANCER CENTER
City : AUGUSTA
State : ME
Zip : 04330-8058
Country : US
Telephone Number : 207-621-6100
Fax Number : 207-621-6102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 08/13/2010

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