NPI 1104204874

Mindful Dermatology, LTD

Organisation Dermatology Physician White River Junction, VT

Practice location

Address: 205 Billings Farm Rd Suite 2d, White River Junction, VT 05001-5400
Phone: (802) 281-6448

Authorised official

Name: Roberta Lucas
Title: Director
Phone: (802) 281-6448

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Vermont →

Registry record

NPI: 1104204874
Entity type: Organization
NPI issued: 13 May 2015
Record last updated: 13 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.