Amanda J. Gagnon, DO

Pediatrics Physician · Lewiston, ME

Individual Active NPI

NPI number 1316574635

Practice location

300 Main St
Lewiston, ME 04240-7027
Phone
(207) 662-0111

Open in Google Maps

NPI record

NPI
1316574635
Entity type
Individual (Type 1)
Enumeration date
March 25, 2020
Last updated
August 28, 2023
Certified
August 25, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X DO3559 ME
Hospitalist Physician 208M00000X DO3559 ME

Other practice locations (1)

  • 22 Bramhall St, Portland, ME 04102-3134 · (207) 662-0111

About Dr. Gagnon

Amanda J. Gagnon, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 300 Main St, Lewiston, ME 04240-7027. The NPI number 1316574635 was assigned on March 25, 2020 and the record was last updated on August 28, 2023.

Dr. Gagnon lists 2 licenses in the registry: #DO3559 (ME) for Pediatrics Physician; #DO3559 (ME) for Hospitalist Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda J. Gagnon, DO?

The NPI number is 1316574635.

What is the phone number of Dr. Gagnon?

The phone number listed for the practice location is (207) 662-0111.

Where is Dr. Gagnon located?

300 Main St, Lewiston, ME 04240-7027.

What is the taxonomy code for Dr. Gagnon?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Lewiston

All Pediatrics Physician providers in Lewiston, ME →