Provider Demographics
NPI:1053189571
Name:SINGER, CORINNE (LAC)
Entity type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:GEORGES MILLS
Mailing Address - State:NH
Mailing Address - Zip Code:03751-0072
Mailing Address - Country:US
Mailing Address - Phone:781-820-2190
Mailing Address - Fax:
Practice Address - Street 1:57 WOODSTOCK ROAD
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:VT
Practice Address - Zip Code:05048-0504
Practice Address - Country:US
Practice Address - Phone:781-820-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT091.0134097171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist