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Lola Louise Amdahl, PA-C
Physician Assistant in Portland, Maine
NPI 1487291050

Lola Louise Amdahl is a Physician Assistant based in South Portland, ME. Lola Louise Amdahl practices in Portland, ME and has the professional credentials of PA-C. The NPI Number for Lola Louise Amdahl is 1487291050 and holds a License No. 055-0031471 (Maine).

The current practice location address for Lola Louise Amdahl is 1600 Congress St Ste B, Portland, ME and can be reached out via phone at 207-774-5222. You can also correspond with Lola Louise Amdahl through the mailing address at 557 OCEAN ST, SOUTH PORTLAND, ME - 04106-6625 (mailing address contact number: 603-252-0556).

Location: 1600 Congress St Ste B, Portland, ME, 04106-6625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487291050
Provider Name
Lola Louise Amdahl
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1600 Congress St Ste B, Portland, ME, 04106-6625
Phone Number
207-774-5222
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Congress St Ste B
City
Portland
State
Maine
Zip
04102-2148
Phone Number
207-774-5222
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Congress St Ste B
City
Portland
State
Maine
Zip
04102-2148
Phone Number
207-774-5222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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.
055-0031471 (Vermont)
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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