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Individual

DR. JENNIFER LAURENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
368 DORSET ST STE 1, SOUTH BURLINGTON, VT 05403-6236
(802) 860-1441
Mailing address
617 RIVERSIDE AVE, BURLINGTON, VT 05401-1601
(802) 864-6309
(802) 860-4313

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1010020162
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ONP0829
VT
Enumeration date
01/25/2006
Last updated
04/10/2019
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