| NPI | 1508691429 |
|---|---|
| Other Name | LIVE WELL CENTER AT LAKE COUNTY SCHOOLS |
| Entity Type | Organization |
| Authorized Contact | JEFF WELLS CEO 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |