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STEWART LESLIE COHEN L.AC.
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1588879365
Individual Registrant: STEWART LESLIE COHEN L.AC.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1 KENNEDY DR STE U7 S BURLINGTON, VT 05403-7166 US
Tel: 802-862-2273 Fax: --
Tel: 802-862-2273 Fax: --
Contact information for business:
1 KENNEDY DR STE U7 S BURLINGTON, VT 05403-7166 US
Tel: 802-862-2273 Fax: --
Tel: 802-862-2273 Fax: --
Registration Information:
NPI: 1588879365
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171100000X | Other Service Providers Acupuncturist | VT | 091-0000013 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
