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Individual

BRUCE LANCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
75 SAN REMO DR, SOUTH BURLINGTON, VT 05403-6385
(802) 488-7350
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000643
VT

Other

Enumeration date
08/03/2015
Last updated
08/03/2015
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