Lakeside Pediatrics, Pllc
Pediatrics
Lakeside Pediatrics, Pllc is a Burlington, Vermont based Pediatric center with medical specialization in
General Pediatrics. Lakeside Pediatrics, Pllc is also known as
Hagan, Rinehart & Connolly Pediatrics.
It is located at
128 Lakeside Ave, Suite 115, Burlington, Vermont - 05401-4939. They can be contacted on phone at
802-860-1928 and fax number 802-860-0192.
NPI number (Unique professional ID) for Lakeside Pediatrics, Pllc is
1104880426 which was assigned by NPPES on 13 Apr, 2006 and it was last updated on 27 Aug, 2019.
Lakeside Pediatrics, Pllc license number is
0420006081 for Pediatrics (208000000X) in Vermont.
Lakeside Pediatrics, Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lakeside Pediatrics, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lakeside Pediatrics, Pllc |
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| Other Name : | Hagan, Rinehart & Connolly Pediatrics |
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Business Address:
Lakeside Pediatrics, Pllc 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 : | 128 Lakeside Ave, Suite 115
Burlington, VT, 05401-4939
United States |
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| Phone Number : | 802-860-1928 |
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| Fax Number : | 802-860-0192 |
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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 : | 1104880426 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Apr, 2006 |
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| Last Updated On : | 27 Aug, 2019 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lynn Bergeron |
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| Official Title or Position : | BUSINESS OFFICE MANAGER |
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| Phone Number : | 802-860-1928 |
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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 Lakeside Pediatrics, Pllc are as mentioned. Primary taxonomy code for Lakeside Pediatrics, Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0420006081 | VT |
Legacy Identifiers:
Other legacy medical identifiers of Lakeside Pediatrics, Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 33869 | Other | VT | MVP |
| 1007673 | MEDICAID | VT | |
| 58026HAGA | Other | VT | BCBS |
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 : | 128 Lakeside Ave, Suite 115
Burlington, VT, 05401-4939
United States |
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| Phone Number : | 802-860-1928 |
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| Fax Number : | 802-860-0192 |
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Business Location:
Patients can refer following map for directions to
Lakeside Pediatrics, Pllc 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.