| 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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