NPI 1245996594

Lara Elizabeth Dusek

Practitioner Pharmacist Winooski, VT

Practice location

Address: 13 E Spring St APT a, Winooski, VT 05404-2366
Phone: (703) 731-6104

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 033.0134484 (VT)

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Registry record

NPI: 1245996594
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2021
Record last updated: 11 Nov 2021

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.