Provider Demographics
NPI:1942571856
Name:ABAIR, CARRIE ANN (LAC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:ABAIR
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 1:54 ARCHIBALD STREET
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:04501
Mailing Address - Country:US
Mailing Address - Phone:802-864-0692
Mailing Address - Fax:
Practice Address - Street 1:165 ROUTE 7 S
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-3605
Practice Address - Country:US
Practice Address - Phone:802-893-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT091.0079879171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist