Individual
TAYLOR MARIKA LAKUSTA-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVENUE, UVMMC, DEPARTMENT OF NEUROLOGY, BURLINGTON, VT 05401
(802) 847-2345
Mailing address
111 COLCHESTER AVE, UNIVERSITY OF VERMONT MEDICAL CENTER, DEPT OF NEUROLOGY, BURLINGTON, VT 05401
(802) 847-2345
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
08/05/2022
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