Provider Demographics
NPI:1063402733
Name:BATT, LORIEN C (MD)
Entity type:Individual
Prefix:
First Name:LORIEN
Middle Name:C
Last Name:BATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295C KENNEDY MEMORIAL DR STE 1
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4535
Mailing Address - Country:US
Mailing Address - Phone:207-873-5437
Mailing Address - Fax:207-872-6037
Practice Address - Street 1:295C KENNEDY MEMORIAL DR STE 1
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4535
Practice Address - Country:US
Practice Address - Phone:207-873-5437
Practice Address - Fax:207-872-6037
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD17760208000000X
MN43436208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
4700189OtherMEDICA HEALTH PLANS
1041316OtherPREFERRED ONE
489T4BAOtherBCBS
786126500OtherMEDICAL ASSISTANCE
132162OtherU CARE
2151898OtherARAZ GROUP AMERICAS PPO
132162OtherU CARE
I20803Medicare UPIN