Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 099.0134062 | VT |
NPI | 1093280075 |
---|---|
Provider Name | Lauren Marie Keppler |
First Address | Burlington, VT 05401-4750 |
Second Address | Burlington, VT 05401-4750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2018 |
Last Update Date | 05/10/2018 |