Individual provider · Type 1 NPI

Kathleen Virginia Lonergan, PA-C

Surgical Physician Assistant · South Portland, ME

NPI number 1144892225 Active

Practice location

119 Gannett Dr
South Portland, ME 04106-6942

Call (207) 773-0040 Map

Fax (207) 661-4630

Other practice locations

  • 3959 Broadway, New York, NY 10032-1559 · (212) 305-5437
  • 3300 Gallows Rd, Falls Church, VA 22042-3307 · (703) 776-4002

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X027368 (NY)
Medical Physician Assistant 363AM0700X0110009039 (VA)
Physician Assistant 363A00000XPA2921 (ME)
Surgical Physician Assistant Primary 363AS0400XPA2921 (ME)

Surgical Physician Assistant: Definition to come...

54 other providers at this address

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About NPI 1144892225

Kathleen Virginia Lonergan, PA-C's National Provider Identifier is 1144892225, issued on Jul 16, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in South Portland, ME. The record was last updated on Sep 23, 2025.