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NPI Code Detail

MEDICARE: MARC LAFRANCE DEMERS MD

MEDICARE: MARC LAFRANCE DEMERS 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
1208600000XSurgery PhysicianME0070771FL
22086X0206XSurgical Oncology PhysicianME0070771FL
3208600000XSurgery PhysicianMD12883ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
231962OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1396847794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC LAFRANCE DEMERS MD
Provider Business Mailing Address
First Line : 887 CONGRESS ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3100
Country : US
Telephone Number : 407-234-2635
Fax Number :
Provider Business Practice Location Address
First Line : 887 CONGRESS ST STE 400
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3163
Country : US
Telephone Number : 207-373-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 10/14/2020

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