Individual
MICHELE DIANE LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
426 INDUSTRIAL AVE STE 130, WILLISTON, VT 05495-4449
(802) 878-1008
(802) 652-5355
Mailing address
426 INDUSTRIAL AVE STE 130, WILLISTON, VT 05495-4449
(802) 878-1008
(802) 652-5355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005-0030983
VT
363A00000X
Physician Assistant
Primary
055-0031070
VT
Other
Enumeration date
08/07/2009
Last updated
09/25/2025
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