Mark Ira Lausier, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2645 Issued in ME

Practice address

336 Mount Hope Ave
Suite 10
Bangor, ME 04401-4236

Phone

(207) 942-2511

Fax

(207) 942-2511

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184734105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 MOUNT HOPE AVE",
            "address_2": "SUITE 10",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014236",
            "telephone_number": "207-942-2511",
            "fax_number": "207-942-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MOUNT HOPE AVE",
            "address_2": "SUITE 10",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014236",
            "telephone_number": "207-942-2511",
            "fax_number": "207-942-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUSIER",
        "first_name": "MARK",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Larson, MD
• Janese Shade' Laster, M.D.
• Ellen F Lauer, DO
• Bonnie Laughlin
• Susan Lauritano
• Emily Mae Lavertu, MS LD
• Daniel Lavoie
• Alexis Law
• Joshua M Lawrence, PH.D.
• Keely S Lawson, IPDH

• General Practice Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.