Active NPIOrganization

Mountain Lake Plastic Surgery PLC

Plastic Surgery in Colchester, Vermont

NPI Number1699259648
Practice location
105 Westview RD Ste 120, Colchester, VT 05446-8025
Fax
—
Last updated
December 13, 2018

Mountain Lake Plastic Surgery PLC is a healthcare organization based in Colchester, VT. Mountain Lake Plastic Surgery PLC practices in Colchester, VT. The NPI Number for Mountain Lake Plastic Surgery PLC is 1699259648. The current practice location address for Mountain Lake Plastic Surgery PLC is 105 Westview RD Ste 120, Colchester, VT 05446-8025 and can be reached out via phone at 802-318-7787.

Provider Profile Details

NPI Number
1699259648
Provider Name
Mountain Lake Plastic Surgery PLC
Provider Entity Type
Organization
Address
105 Westview RD Ste 120, Colchester, VT 05446-8025
Phone Number
802-318-7787
Primary Taxonomy
Plastic Surgery · 208200000X
Organization Subpart
No
Authorized Official
Susan Maclennan, MD · Owner · 802-318-7787
Provider Enumeration Date
September 17, 2018
Last Update Date
December 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Westview RD Ste 120
Colchester, VT 05446-8025
State
Vermont
Zip
05446-8025
Phone Number
802-318-7787
Colchester, VT 05446Get directions →

Provider Business Mailing Address Details

Address
105 Westview RD Ste 120
Colchester, VT 05446-8025
City
Colchester
State
VT
Zip
05446-8025
Phone Number
802-318-7787

License Information

Taxonomy
Plastic Surgery · 208200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Plastic Surgery providers near Colchester, VT

View all Plastic Surgery providers in Colchester →

Frequently Asked Questions

What is the NPI number of Mountain Lake Plastic Surgery PLC?

The NPI number of Mountain Lake Plastic Surgery PLC is 1699259648. It was assigned on September 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Mountain Lake Plastic Surgery PLC?

Mountain Lake Plastic Surgery PLC is registered under the primary taxonomy Plastic Surgery (code 208200000X).

Where does Mountain Lake Plastic Surgery PLC practice?

The practice location is 105 Westview RD Ste 120, Colchester, VT 05446-8025. The office can be reached at 802-318-7787 (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 1699259648 directly on the NPPES registry website.

Browse related providers