Organization
VERMONT CENTER FOR REGENERATIVE MEDICINE
Active
Other names
Lake Champlain Regen Medical
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA E FIELDS (OFFICE MANAGER)
(802) 734-9455
Entity
Organization
Contact information
Practice address
71 KNIGHT LN STE 20, WILLISTON, VT 05495-4514
(802) 734-9455
(678) 574-5605
Mailing address
71 KNIGHT LN STE 20, WILLISTON, VT 05495-4514
(802) 734-9455
(678) 574-5605
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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