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Individual

DR. HEATHER LANE CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C

Contact information

Practice address
338 RIVER ST, SUITE 8, MONTPELIER, VT 05602-8242
(802) 225-8958
Mailing address
338 RIVER ST, SUITE 8, MONTPELIER, VT 05602-8242
(802) 225-8958

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001133
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59831
BC PROVIDER ID
VT
Enumeration date
07/19/2006
Last updated
12/03/2014
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