NPI 1104570449
My Virtual Medical Visit
Practice location
- Address
- 1723 Hammond St, Hermon, ME 04401-1120
- Phone
- (207) 252-3651
- Mailing address
- 558 Bryant Rd, Hermon, ME 04401-0861
Authorised official
- Name
- Lorraine Marie Morin
- Title
- Owner
- Phone
- (207) 252-3651
Registered specialties
Medical Specialty Clinic/Center
Primary
Registry record
- NPI
- 1104570449
- Entity type
- Organization
- NPI issued
- 7 Feb 2022
- Record last updated
- 7 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.