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Organization

INTEGRATED WOUND CARE VERMONT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANE LUSAS MD (MEMBER)
(718) 705-6010
Entity
Organization

Contact information

Practice address
100 N MAIN ST STE 2, BARRE, VT 05641-4150
(718) 705-6010
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
(718) 705-6010

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/13/2021
Last updated
07/13/2021
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