Search › Maine › 101YA0400X
Larry Tyler
NPI 1043441140 · on the registry since 2009
Practice
- Address
- 253-255 Hammond St.
Bangor, ME 04401 - Phone
- (207) 941-1612
- Fax
- (207) 941-1634
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine