| Lakes Region Healthcare | |
|
49 Castleton Meadows Ln Castleton VT 05735-9011 | |
| (802) 468-8755 | |
| Not Available |
| Full Name | Lakes Region Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 49 Castleton Meadows Ln, Castleton, Vermont |
| Authorized Official Name and Position | Thomas Edward Beauregard (PRESIDENT) |
| Authorized Official Contact | 8024688755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Region Healthcare Po Box 509 Bomoseen VT 05732-0509 Ph: (802) 468-8755 | Lakes Region Healthcare 49 Castleton Meadows Ln Castleton VT 05735-9011 Ph: (802) 468-8755 |
| NPI Number | 1114195419 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114195419 | NPI | - | NPPES |
| 9000153 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0550030883 (Vermont) | Primary |