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NPI Code Detail

MEDICARE: DR. EFRAT LELKES MD

MEDICARE:  DR. EFRAT  LELKES  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
1208000000XPediatrics PhysicianA108260CA
22080H0002XPediatric Hospice and Palliative Medicine PhysicianMD26815ME
32080P0203XPediatric Critical Care Medicine PhysicianMD26815ME
4208000000XPediatrics PhysicianMD26815ME

General Provider Information

NPI Number : 1740437359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EFRAT LELKES MD
Provider Business Mailing Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-3500
Fax Number :
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 02/11/2025

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