Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0091716 | VT |
NPI | 1033494265 |
---|---|
Provider Name | Dr. Dana Lukens Dabransky |
First Address | S Burlington, VT 05403-7773 |
Second Address | S Burlington, VT 05403-7773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2011 |
Last Update Date | 20/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1021387 | (05) | VT |