Individual
LAURA MCGEVNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 FARRELL ST STE 200, SOUTH BURLINGTON, VT 05403-6395
(802) 864-9522
(802) 859-8928
Mailing address
30 FARRELL ST, SOUTH BURLINGTON, VT 05403-6012
(802) 864-9522
(802) 859-8928
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0420012621
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730322306
NPI
VT
Enumeration date
04/13/2009
Last updated
12/09/2022
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