Healthcare Provider Details

I. General information

NPI: 1386839298
Provider Name (Legal Business Name): LAURA BETH SENES N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MAIN STREET
SAXTONS RIVER VT
05154-0249
US

IV. Provider business mailing address

10 MAIN STREET PO BOX 249
SAXTONS RIVER VT
05154-0249
US

V. Phone/Fax

Practice location:
  • Phone: 802-869-1222
  • Fax:
Mailing address:
  • Phone: 802-869-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099-0000116
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: