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Individual

LAURIE M DAVIGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
62 TILLEY DR STE 202, SOUTH BURLINGTON, VT 05403-4407
(802) 847-4576
Mailing address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101-0134749
VT
363L00000X
Nurse Practitioner
233795
MA

Other

Enumeration date
04/12/2007
Last updated
05/18/2021
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