Individual
LAURA B VAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
32 PLEASANT STREET, WOODSTOCK, VT 05091
(802) 457-3030
(802) 457-2157
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
(802) 674-7349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001719
CT
363A00000X
Physician Assistant
Primary
0550030965
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719
STATE LICENSE
CT
Enumeration date
11/15/2005
Last updated
02/17/2019
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