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Individual

LISA DIMONDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
213 E MAIN ST, HYDE PARK, VT 05655-9274
(802) 888-3077
(802) 888-6912
Mailing address
PO BOX 347, HYDE PARK, VT 05655-0347

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1010012146
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4000013
VT
Enumeration date
05/17/2006
Last updated
04/26/2012
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