Lauren Lasante | |
198 N Main St Ste C-5 Rutland VT 05701 | |
(802) 772-4675 | |
(802) 610-1060 |
Full Name | Lauren Lasante |
---|---|
Speciality | Counselor - Mental Health |
Location | 198 N Main St Ste C-5, Rutland, Vermont |
Authorized Official Name and Position | Lauren Ann Lasante (OWNER) |
Authorized Official Contact | 8023533377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lauren Lasante Po Box 6758 Rutland VT 05702-6758 Ph: (802) 772-4675 | Lauren Lasante 198 N Main St Ste C-5 Rutland VT 05701 Ph: (802) 772-4675 |
NPI Number | 1588158216 |
---|---|
Provider Enumeration Date | 06/16/2018 |
Last Update Date | 06/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588158216 | NPI | - | NPPES |
1017232 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 06.80047526 (Vermont) | Primary |
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