NPI 1023647666
Luis Bolanos, DO
Practice location
- Address
- 111 Colchester Ave, Burlington, VT 05401-1473
- Phone
- (802) 847-0000
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1023647666
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Apr 2020
- Record last updated
- 5 Jul 2023
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.