Individual
DANIEL LOUIS LECOURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 FISHER RD, BERLIN, VT 05602-9212
(802) 828-3300
Mailing address
350 FISHER RD, MONTPELIER, VT 05633-7900
(802) 828-3300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0016386
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
08/04/2024
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