| NPI | 1578715462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS JACQUES LAMONTAGNE Owner 802-748-1918 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: VT 056-0000155) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |