NPI 1568737328

Luke Gaillard

Practitioner Licensed Practical Nurse Ryegate, VT

Practice location

Address: 324 South Bayley-Hazen Rd, Ryegate, VT 05042
Phone: (802) 584-4679
Mailing address: 182 Holton Hill PO Box 473, Hardwick, VT 05843-0473

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 025.0078863 (VT)

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Registry record

NPI: 1568737328
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2012
Record last updated: 13 Mar 2012

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.