person
Susan Priscilla Lax, APRN,BC
Psychiatric/Mental Health Nurse Practitioner in Stowe, Vermont
NPI 1245453398

Susan Priscilla Lax is a Psychiatric/Mental Health Nurse Practitioner based in Stowe, VT and is specialized in Psychiatric/Mental Health. Susan Priscilla Lax practices in Stowe, VT and has the professional credentials of APRN,BC. The NPI Number for Susan Priscilla Lax is 1245453398 and holds a License No. 026.0135023 (Vermont).

The current practice location address for Susan Priscilla Lax is 782 Mountain Rd Ste D, Stowe, VT and can be reached out via phone at 617-372-5784. You can also correspond with Susan Priscilla Lax through the mailing address at PO BOX 3344, STOWE, VT - 05672-3344 (mailing address contact number: 617-372-5784).

Location: 782 Mountain Rd Ste D, Stowe, VT, 05672-3344
person
Provider Profile Details
NPI Number
1245453398
Provider Name
Susan Priscilla Lax
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
782 Mountain Rd Ste D, Stowe, VT, 05672-3344
Phone Number
617-372-5784
Fax Number
Provider Enumeration Date
04/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033122 05 VT
institution
Provider Business Practice Location Address Details
Address
782 Mountain Rd Ste D
City
State
Zip
05672-4629
Phone Number
617-372-5784
Fax Number
person
Provider Business Mailing Address Details
Address
782 Mountain Rd Ste D
City
State
Zip
05672-4629
Phone Number
617-372-5784
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
101.0134152 (Vermont)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
255146 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
026.0135023 (Vermont)
Definition
Definition to come...
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