Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN MICHAEL LANNON, MD
Active Sole ProprietorBENJAMIN MICHAEL LANNON, MD is a Reproductive Endocrinology healthcare provider located in SOUTH PORTLAND, Maine. NPI 1225170624 is currently active in the NPPES registry. Verify at CMS.
Reproductive Endocrinology · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1225170624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2007 (19.312125283009 yrs)
- Last Updated
- Jul 29, 2011
- Licenses
-
217837 (MA)231397 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
778 MAIN STSUITE 2SOUTH PORTLAND, ME, 041065447Browse ME providers · Browse ZIP 04106
- Phone
- 2073587600
- Fax
- 2077617019
- Primary Specialty
-
Reproductive Endocrinology
207VE0102X
- Additional Specialty
- Reproductive Endocrinology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.