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NPI Code Detail

MEDICARE: DR. LAURA E TRASK MD

MEDICARE: DR. LAURA E TRASK 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
1207R00000XInternal Medicine Physician016454ME
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianMD16454ME

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 : 1790754547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA E TRASK MD
Provider Business Mailing Address
First Line : 1 VA CTR BLDG 200
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6795
Country : US
Telephone Number : 207-623-8411
Fax Number : 207-621-7316
Provider Business Practice Location Address
First Line : 1 VA CTR BLDG 200
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-6795
Country : US
Telephone Number : 207-623-8411
Fax Number : 207-621-7316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 03/28/2025

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Directions to “ DR. LAURA E TRASK MD” Practice Location

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