Individual
MRS. HEIDI LAVANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ELM ST, MONTPELIER, VT 05602-2205
(802) 223-0954
(802) 225-6728
Mailing address
361 BROOKVIEW LN, WOLCOTT, VT 05680-4603
(802) 279-6995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164.0001707
VT
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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