Organization
MINDFUL DERMATOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LUCAS M.D. (DIRECTOR)
(802) 281-6448
Entity
Organization
Contact information
Practice address
205 BILLINGS FARM RD, SUITE 2D, WHITE RIVER JUNCTION, VT 05001-5400
(802) 281-6448
Mailing address
205 BILLINGS FARM RD, SUITE 2D, WHITE RIVER JUNCTION, VT 05001-5400
(802) 281-6448
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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