Dr. Jack Lawrence Mayer
M.D., FAAP | Pediatric Adolescent Medicine | Male
Dr. Jack Lawrence Mayer, M.D., FAAP is a Middlebury, Vermont based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Jack Lawrence Mayer is
44 Collins Dr, Suite 202, Middlebury, Vermont - 05753-8528. He can be contacted on phone at
802-388-1338 and fax number 802-388-8244.
Dr. Jack Lawrence Mayer is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jack Lawrence Mayer is
1639136559 which was assigned by NPPES on 26 Apr, 2006 and it was last updated on 09 Jul, 2007.
Dr. Jack Lawrence Mayer license number is
042-0004728 for Pediatrics Adolescent Medicine (2080A0000X) in Vermont.
Dr. Jack Lawrence Mayer specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Jack Lawrence Mayer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Dr. Jack Lawrence Mayer |
|---|
| Credential : | M.D., FAAP |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Jack Lawrence Mayer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 44 Collins Dr, Suite 202
Middlebury, VT, 05753-8528
United States |
|---|
| Phone Number : | 802-388-1338 |
|---|
| Fax Number : | 802-388-8244 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1639136559 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 26 Apr, 2006 |
|---|
| Last Updated On : | 09 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack Lawrence Mayer are as mentioned. Primary taxonomy code for Dr. Jack Lawrence Mayer, M.D., FAAP is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 042-0004728 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jack Lawrence Mayer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4626 | Other | VT | BCVT |
| 0004626 | MEDICAID | VT | |
| 26P885 | Other | | MVP ID# |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 44 Collins Dr, Suite 202
Middlebury, VT, 05753-8528
United States |
|---|
| Phone Number : | 802-388-1338 |
|---|
| Fax Number : | 802-388-8244 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Jack Lawrence Mayer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.