Individual
DR. LYNNE JULIA ADDIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
161 US ROUTE 302 - BERLIN, BARRE, VT 05641
(802) 476-8700
Mailing address
110 NELSON ST, BARRE, VT 05641-3312
(802) 479-1185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016-0001234
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006036
—
VT
Enumeration date
11/01/2006
Last updated
07/08/2007
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