| Lauren Ko, MD | |
|
50 Sewall St, Portland, ME 04102-2691 | |
| (207) 775-3526 | |
| (207) 775-5658 |
| Full Name | Lauren Ko |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 50 Sewall St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154826824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD26766 (Maine) | Primary |
| Entity Name | Brigham & Womens Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Ko, MD 50 Sewall St Ste 302, Portland, ME 04102-2691 Ph: (207) 775-3526 | Lauren Ko, MD 50 Sewall St, Portland, ME 04102-2691 Ph: (207) 775-3526 |
Rachel Rubino Dunlap, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1601 Congress St, Portland, ME 04102 Phone: 207-661-0100 | |
Anthony Guzman, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall St, Portland, ME 04102 Phone: 207-775-3526 Fax: 207-775-5658 | |
Carmen J Rinaldi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall St, Portland, ME 04102 Phone: 207-775-3526 | |
Jennifer Woodbury Bragg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall Street, Portland, ME 04102 Phone: 207-775-3526 | |
Dr. Wiley Joseph Smith, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 Sewall St, Portland, ME 04102 Phone: 207-775-3526 Fax: 207-775-5658 | |
Mairead Rebecca Baker, Dermatology Medicare: Medicare Enrolled Practice Location: 50 Sewall St Ste 302, Portland, ME 04102 Phone: 207-775-3526 |