| Doctor Name: | LISA DIMONDSTEIN |
| NPI Number: | 1194777011 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1010012146 |
| Business Practice Address: | 213 E Main St Hyde Park, VT - 056559274 |
| Business Phone Number: | 8028883077 |
| Business Fax Number: | 8028886912 |
| Mailing Address: | Po Box 347, HYDE PARK |
| State: | VT |
| Postal Code: | 056550347 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 1010012146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |