Organization
LAKESHORE HAND SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE DURANT MD (MD)
(802) 734-8240
Entity
Organization
Contact information
Practice address
120 ZEPHYR RD, WILLISTON, VT 05495-7558
(802) 662-2272
Mailing address
73 EVERBREEZE DR, COLCHESTER, VT 05446-1760
(802) 734-8240
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013801
—
VT
Enumeration date
03/29/2019
Last updated
07/24/2019
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