| Lauren Grader-fox Pllc | |
|
231 Concord Ave St Johnsbury VT 05819-1515 | |
| (802) 745-7581 | |
| Not Available |
| Full Name | Lauren Grader-fox Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 231 Concord Ave, St Johnsbury, Vermont |
| Authorized Official Name and Position | Lauren Grader-fox (OWNER) |
| Authorized Official Contact | 8027457581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Grader-fox Pllc 231 Concord Ave St Johnsbury VT 05819-1515 Ph: (802) 745-7581 | Lauren Grader-fox Pllc 231 Concord Ave St Johnsbury VT 05819-1515 Ph: (802) 745-7581 |
| NPI Number | 1427893064 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Medicare PECOS PAC ID | 3072033158 |
|---|---|
| Medicare Enrollment ID | O20250219002041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427893064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lauren Grader-fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912740473 PECOS PAC ID: 6709306830 Enrollment ID: I20250220000152 |
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