Individual
LISA JOY DOCKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
231 LAKE RD, MILTON, VT 05468-3538
(802) 891-6737
Mailing address
231 LAKE RD, MILTON, VT 05468-3538
(802) 891-6737
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
033.0003243
VT
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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