Provider Demographics
NPI:1790037620
Name:MARLOWE-FLANAGAN, LAURA M (DO)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:MARLOWE-FLANAGAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 UNION ST
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1534
Mailing Address - Country:US
Mailing Address - Phone:207-664-7780
Mailing Address - Fax:207-664-7721
Practice Address - Street 1:32 RESORT WAY
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1717
Practice Address - Country:US
Practice Address - Phone:207-664-7780
Practice Address - Fax:207-664-7721
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-02
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5742207R00000X
MEDO2776207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine