| NPI | 1740994045 |
|---|---|
| Other Name | LAITRAM HEALTH AND WELLNESS CENTER @ HAMMOND |
| Entity Type | Organization |
| Authorized Contact | JEFF WELLS CEO 802-857-0400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-01-19 |