Virginia C Brack, MD
Pediatrics in Lebanon, New Hampshire
1205821220- Practice location
- 1 Medical Center Dr, Lebanon, NH 03756-1000
- Phone
- 603-650-5000
- Fax
- —
- Last updated
- April 26, 2013
Virginia C Brack is a Pediatrics based in Lebanon, NH. Virginia C Brack practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Virginia C Brack is 1205821220 and holds a License No. 042-0010058 (VT). The current practice location address for Virginia C Brack is 1 Medical Center Dr, Lebanon, NH 03756-1000 and can be reached out via phone at 603-650-5000.
Provider Profile Details
- NPI Number
- 1205821220
- Provider Name
- Virginia C Brack
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Medical Center Dr, Lebanon, NH 03756-1000
- Phone Number
- 603-650-5000
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 15, 2005
- Last Update Date
- April 26, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Medical Center Dr
Lebanon, NH 03756-1000 - City
- Lebanon
- State
- New Hampshire
- Zip
- 03756-1000
- Phone Number
- 603-650-5000
Provider Business Mailing Address Details
- Address
- 1 Cliff St
Norwich, VT 05055-9412 - City
- Norwich
- State
- VT
- Zip
- 05055-9412
- Phone Number
- 802-649-3891
License Information
- License Number
- 042-0010058
- License State
- VT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Lebanon, NH
View all Pediatrics providers in Lebanon →Frequently Asked Questions
What is the NPI number of Virginia C Brack, MD?
The NPI number of Virginia C Brack, MD is 1205821220. It was assigned on September 15, 2005 and is currently active in the NPPES registry.
What is the specialty of Virginia C Brack, MD?
Virginia C Brack, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in VT under license number 042-0010058.
Where does Virginia C Brack, MD practice?
The practice location is 1 Medical Center Dr, Lebanon, NH 03756-1000. The office can be reached at 603-650-5000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205821220 directly on the NPPES registry website.