Individual
LIANA DAGDAVARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2415
Mailing address
200 MULLINS DR, LEBANON, OR 97355-3983
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
032-0134152
VT
207L00000X
Anesthesiology Physician
12822273-1204
UT
Other
Enumeration date
03/17/2016
Last updated
12/11/2023
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