Individual
LISA MICHELE BOLDUC-BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
111 COLCHESTER AVE, CSC, BURLINGTON, VT 05401-1473
(802) 847-6200
(802) 847-5364
Mailing address
242 ROBBINS MOUNTAIN RD, RICHMOND, VT 05477-9285
(802) 434-4877
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
026-0022848
VT
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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