Individual
DUSTIN LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
792 COLLEGE PKWY STE 103, COLCHESTER, VT 05446-3052
(802) 847-7461
Mailing address
792 COLLEGE PKWY STE 103, COLCHESTER, VT 05446-3052
(802) 847-7461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0103881
VT
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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