Most Relevant Information
Provider Data
| NPI Number: | 1003045006 |
| Provider Name: | ABBY LYNN LABRECQUE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA1287 |
Most Important Dates
| Enumeration Date: | 07/11/2009 |
| Last Updated: | 04/03/2015 |
Provider Practice Location
22 BRAMHALL ST
PORTLAND
ME
041023134
Practice Location Phone/Fax
| Phone: | 2076628111 |
| Fax: | 2076628133 |
Provider Mailing Location
301C US ROUTE 1
SCARBOROUGH
ME
04074
Provider Mailing Phone/Fax
| Phone: | 2073968600 |
| Fax: | 2073968632 |