Provider Demographics
NPI:1316941339
Name:STROHMEYER, LAWRENCE PAUL (DO)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:PAUL
Last Name:STROHMEYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 AUGUSTA RD
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:ME
Mailing Address - Zip Code:04901-7173
Mailing Address - Country:US
Mailing Address - Phone:207-872-9534
Mailing Address - Fax:207-877-7601
Practice Address - Street 1:120 AUGUSTA RD
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:ME
Practice Address - Zip Code:04901-7173
Practice Address - Country:US
Practice Address - Phone:207-872-9534
Practice Address - Fax:207-877-7601
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME13652084P0800X, 2084P2900X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME003275OtherANTHEM BC/BS
ME003275OtherANTHEM BC/BS
MEMM4191Medicare ID - Type Unspecified