LOLA LOUISE AMDAHL PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1487291050- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1600 CONGRESS ST STE B, PORTLAND, ME, 041022148
- Phone
- (207) 774-5222
Specialties & Taxonomies
Physician Assistant
License: VT #055-0031471
Student in an Organized Health Care Education/Training Program
Physician Assistant
Primary License: ME #PA2334