Individual
CASEY SANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 LAKESIDE AVE STE 115, BURLINGTON, VT 05401-4936
(802) 860-1928
Mailing address
128 LAKESIDE AVE STE 115, BURLINGTON, VT 05401-4936
(802) 860-1928
(802) 860-0192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-0014955
VT
Other
Enumeration date
03/21/2017
Last updated
01/04/2021
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