Organization
GFM HOUSE CALL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLINE LOLO LAGUERRE (CEO)
(561) 889-3367
Entity
Organization
Contact information
Practice address
23 STRATTON, WINHALL, VT 05340
(561) 889-3367
Mailing address
PO BOX 445, BONDVILLE, VT 05340-0445
(561) 889-3367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811354327
IND NPI
VT
Enumeration date
05/05/2020
Last updated
11/13/2020
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