Mack, Laurie Lemieux

Mack, Laurie Lemieux is an individual health care provider with primary practice located at 75 W Commercial St Northeast Hearing And Speech, Suite 205, Portland ME 04101-4797. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mack, Laurie Lemieux can be contacted via phone (207) 874-1065.

Contact Information

Primary practice address
75 W Commercial St Northeast Hearing And Speech, Suite 205 Portland ME 04101-4797
Phone: (207) 874-1065
Fax: (207) 874-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP445 Maine

Profile Details

NPI number 1114063088
LBN Legal business name Mack, Laurie Lemieux
Credentials MA CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 23rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114063088 NPPES
Maine Other 002731 ANTHEM BCBS
Maine MEDICAID 258910099 ANTHEM BCBS

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