Organization
LAMOILLE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CONNOR (EXECUTIVE DIRECTOR)
(802) 888-5229
Entity
Organization
Contact information
Practice address
480 CADYS FALLS RD, MORRISVILLE, VT 05661-9137
(802) 888-5229
(802) 888-5392
Mailing address
480 CADYS FALLS RD, MORRISVILLE, VT 05661-9137
(802) 888-5229
(802) 888-5392
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0890000651
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010297
—
VT
Enumeration date
04/10/2008
Last updated
04/10/2008
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