Individual
LAUREN ANNA FEDORKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
21 EASTVIEW DR, SAINT ALBANS, VT 05478-2701
(802) 829-9208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101.0136403
VT
363LA2200X
Adult Health Nurse Practitioner
101.0136403
VT
Other
Enumeration date
08/17/2023
Last updated
03/27/2025
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