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Individual

PAULA LAROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
322 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 447-8700
(802) 447-1500
Mailing address
322 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 447-8700
(802) 447-1500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000310
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02360947
NY
01
0965940001
DMERC
VT
01
10063061
CDPHP
VT
01
361194
MVP
VT
01
410049539
RR MCRP
VT
01
59302
VTBS
VT
05
OVN2992
VT
Enumeration date
05/23/2006
Last updated
03/30/2018
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