Individual
DR. HEATHER A LESAGE-HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 BELMONT AVE, BRATTLEBORO, VT 05301-7110
(802) 258-3905
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1140
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0012847
VT
208000000X
Pediatrics Physician
4301094661
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
4301094661
MI
390200000X
Student in an Organized Health Care Education/Training Program
1056982
MI
Other
Enumeration date
06/16/2009
Last updated
06/30/2023
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