person
Dr. Garrett Russell Lewellen, DC
Chiropractor in Portland, Maine
NPI 1255431755

Garrett Russell Lewellen is a Chiropractor based in Portland, ME. Garrett Russell Lewellen practices in Portland, ME and has the professional credentials of DC. The NPI Number for Garrett Russell Lewellen is 1255431755 and holds a License No. CR1311 (Maine).

The current practice location address for Garrett Russell Lewellen is 50 Cove St, Portland, ME and can be reached out via phone at 207-828-8777 and via fax at 207-828-8778.

Location: 50 Cove St, Portland, ME, 04101-2514
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Provider Profile Details
NPI Number
1255431755
Provider Name
Garrett Russell Lewellen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
50 Cove St, Portland, ME, 04101-2514
Phone Number
207-828-8777
Fax Number
207-828-8778
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022072 01 ME ANTHEM PROVIDER NUMBER
1092630 01 ME AETNA PROVIDER NUMBER
55-0850500 01 ME MARCHIGONNE PROVIDER #
8546678 01 ME CIGNA PROVIDER #
55-0850500 01 ME MEDNET/UHC PROVIDER #
1255431755 01 ME MEDICARE PTAN UX2253
351404 01 ME HARVARD PILGRAM PROVIDER
institution
Provider Business Practice Location Address Details
Address
50 Cove St
City
State
Zip
04101-2514
Phone Number
207-828-8777
Fax Number
207-828-8778
person
Provider Business Mailing Address Details
Address
50 Cove St
City
State
Zip
04101-2514
Phone Number
207-828-8777
Fax Number
207-828-8778
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CR1311 (Maine)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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