OrganizationActive
Mindful Dermatology, Ltd
NPI 1104204874 · Dermatology Physician · White River Junction, VT
Provider details
- NPI number
- 1104204874
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roberta Lucas, Director(802) 281-6448
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
205 Billings Farm Rd
Suite 2d
White River Junction, VT 05001-5400
Phone: (802) 281-6448
Approximate (ZIP-level) locationGet directions
Mailing address
205 Billings Farm Rd
White River Junction, VT 05001-5400
Registry dates
- Enumerated
- 2015-05-13
- Last updated
- 2015-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.