Individual
LEWIS WILLMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 CLIFF ST, BURLINGTON, VT 05401-3905
(802) 658-3506
Mailing address
125 CLIFF ST, BURLINGTON, VT 05401-3905
(802) 658-3506
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0004108
VT
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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