Mrs Lara K Peck, RD CDE is a
Dietitian, Registered based in Bomoseen, Vermont. Mrs Lara K Peck is licensed to practice in Vermont (license number 871969) and her current practice location is
275 Route 30 N, Bomoseen, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 468-5641.
NPI number for Mrs Lara K Peck is 1063782340 and her current mailing address is 275 Route 30 N, Bomoseen, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063782340.
Healthcare Provider's Profile
Full Name | Mrs Lara K Peck |
---|
Gender | Female |
---|
Speciality | Dietitian, Registered |
---|
Location | 275 Route 30 N, Bomoseen, Vermont |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063782340
- Provider Enumeration Date: 01/04/2012
- Last Update Date: 01/04/2012
Medical Identifiers
Medical identifiers for Mrs Lara K Peck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063782340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 871969 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lara K Peck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lara K Peck, RD CDE 275 Route 30 N, Bomoseen, VT 05732-9647 Ph: (802) 468-5641 | Mrs Lara K Peck, RD CDE 275 Route 30 N, Bomoseen, VT 05732-9647 Ph: (802) 468-5641 |
Reviews and Comments