Individual
LISA ANN ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 AUSTINE DR, BRATTLEBORO, VT 05301-7223
(802) 490-9619
(802) 258-2413
Mailing address
209 AUSTINE DR, BRATTLEBORO, VT 05301-7223
(802) 490-9619
(802) 258-2413
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
VT
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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