Individual
LAKEN N SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Mailing address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0135625
VT
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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