Provider Demographics
NPI:1033494265
Name:DABRANSKY, DANA LUKENS (ND)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:LUKENS
Last Name:DABRANSKY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LUKENS
Other - Last Name:BRIGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:41 IDX DR
Mailing Address - Street 2:SUITE # 220
Mailing Address - City:S BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7773
Mailing Address - Country:US
Mailing Address - Phone:802-448-3388
Mailing Address - Fax:802-448-3387
Practice Address - Street 1:41 IDX DR
Practice Address - Street 2:SUITE # 220
Practice Address - City:S BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7773
Practice Address - Country:US
Practice Address - Phone:802-448-3388
Practice Address - Fax:802-448-3387
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-19
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0091716175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1021387Medicaid