LIEVIN UMBA PHUKUTA

Physician Assistant

Active Individual
NPI: 1346864279

Practice Address

716 STEVENS AVE
Portland, ME 04103

Phone: (207) 283-0171

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1346864279 is the National Provider Identifier for LIEVIN UMBA PHUKUTA, a Physician Assistant provider located in Portland, ME. This NPI was enumerated on June 6, 2020.
LIEVIN UMBA PHUKUTA practices at 716 STEVENS AVE, Portland, ME 04103.

Quick Facts

NPI
1346864279
Type
Individual
Enumerated
Jun 6, 2020
Last Updated
Aug 18, 2021

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