Individual
DR. LISA NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
102 SULLIVAN DR, PUTNEY, VT 05346-0664
(802) 869-1122
(802) 869-1123
Mailing address
102 SULLIVAN DR, PUTNEY, VT 05346-0664
(802) 869-1122
(802) 869-1123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0000961
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28209
BLUE CROSS PROVIDER #
VT
Enumeration date
10/10/2006
Last updated
10/21/2009
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