Individual
MS. LAURA LYNN SPONSELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC DEPARTMENT OF PSYCHIATRY, PATRICK 4, BURLINGTON, VT 05401
(802) 829-9645
Mailing address
111 COLCHESTER AVE, FAHC DEPARTMENT OF PSYCHIATRY, PATRICK 4, BURLINGTON, VT 05401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
252652
MA
Other
Enumeration date
04/08/2008
Last updated
07/19/2012
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