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Mr. Benjamin Lyle Macdonald
Student in an Organized Health Care Education/Training Program in Sanford, Maine
NPI 1366106833

Benjamin Lyle Macdonald is a Student in an Organized Health Care Education/Training Program based in Sanford, ME. Benjamin Lyle Macdonald practices in Sanford, ME. The NPI Number for Benjamin Lyle Macdonald is 1366106833 and holds a License No. (Maine).

The current practice location address for Benjamin Lyle Macdonald is 3 Normand Ave Apt A, Sanford, ME and can be reached out via phone at 207-303-2509.

Location: 3 Normand Ave Apt A, Sanford, ME, 04073-3214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366106833
Provider Name
Benjamin Lyle Macdonald
Credential
Provider Entity Type
Individual
Gender
Male
Address
3 Normand Ave Apt A, Sanford, ME, 04073-3214
Phone Number
207-303-2509
Fax Number
Provider Enumeration Date
10/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3 Normand Ave Apt A
City
Sanford
State
Maine
Zip
04073-3214
Phone Number
207-303-2509
Fax Number
person
Provider Business Mailing Address Details
Address
3 Normand Ave Apt A
City
Sanford
State
Maine
Zip
04073-3214
Phone Number
207-303-2509
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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