| Thomas J Lantos, MD | |
|
474 Main St, Springvale, ME 04083-1409 | |
| (207) 324-1500 | |
| (207) 490-5263 |
| Full Name | Thomas J Lantos |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 474 Main St, Springvale, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962414730 | NPI | - | NPPES |
| 308530099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD12436 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Lantos, MD 78 Atlantic Pl, South Portland, ME 04106-2316 Ph: (207) 661-6654 | Thomas J Lantos, MD 474 Main St, Springvale, ME 04083-1409 Ph: (207) 324-1500 |
Kyle Aaron Brong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 474 Main St, Springvale, ME 04083 Phone: 844-292-0111 Fax: 207-490-5263 | |
William L. Grapentine, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 |