NPI 1457712408 · live from the CMS NPI Registry
Liana Dagdavaryan
Anesthesiology in Burlington, VT. National Provider Identifier 1457712408, active.
NPI record
| NPI | 1457712408 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-2415 |
| Mailing address | 200 Mullins Dr, Lebanon, OR 97355 |
| Enumerated | March 17, 2016 |
| Last updated | December 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 12822273-1204 (UT) |
| Anesthesiology primary | 207L00000X | 032-0134152 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.