NPI 1093744237

Luke W Ballenger, MD

Practitioner Psychiatry Physician Lewiston, ME

Practice location

Address: 100 Campus Ave Suite 208, Lewiston, ME 04240-6040
Phone: (207) 777-8974
Fax: (207) 777-8946
Mailing address: PO Box 4140, Boston, MA 02241

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 014003 (ME)

Other Psychiatry & Neurology providers in Maine →

Registry record

NPI: 1093744237
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2006
Record last updated: 16 Feb 2010

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.