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Philip Lightbear, MA LADC CADC

NPI 1548435696 · on the registry since 2008

Practice

Address
108 Cherry Street Suite 1
St Johnsburg, VT 05819
Phone
(802) 748-8842
Fax
(802) 748-9014

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont