Jane N. Laeger, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

011478 Issued in ME

Practice address

700 Mount Hope Ave
Ste 430
Bangor, ME 04401-5677

Phone

(207) 947-8658

Fax

(207) 947-4440

NPI assigned

Jun 27, 2005

Last updated

May 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Gynecology Associates, P.a.

  • Gynecology Physician
  • Bangor, ME
  • NPI 1629154463
  Authorized official Same address or phone

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1326044173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "STE 430",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015677",
            "telephone_number": "207-947-8658",
            "fax_number": "207-947-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "STE 430",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015677",
            "telephone_number": "207-947-8658",
            "fax_number": "207-947-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAEGER",
        "first_name": "JANE",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "ME",
            "license": "011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Lachance, LCSW
• Katherine Anne Lachance, TLD
• Lindsey Lachance
• Stephanie Lachance, PMHNP
• Kasey Marie Ladd, CNM
• Marissa Laflamme
• Alma T Lafrance, LCSW
• Amanda Laganiere, RDH
• Gabrielle Lagross
• Jenna Lakeman, RN

• Gynecology Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.