| Melaine C Lawrence Md | |
|
4628 Main Street Newbury VT 05051-9775 | |
| (802) 866-3000 | |
| (802) 866-3012 |
| Full Name | Melaine C Lawrence Md |
|---|---|
| Speciality | Family Medicine |
| Location | 4628 Main Street, Newbury, Vermont |
| Authorized Official Name and Position | Melaine C Lawrence (OWNER) |
| Authorized Official Contact | 8028663000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melaine C Lawrence Md Po Box 37 Newbury VT 05051-0037 Ph: (802) 866-3000 | Melaine C Lawrence Md 4628 Main Street Newbury VT 05051-9775 Ph: (802) 866-3000 |
| NPI Number | 1669792271 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 11/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669792271 | NPI | - | NPPES |
| 1017789 | Medicaid | VT | |
| 30209633 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 207Q00000X (Vermont) | Primary |
Little Rivers Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4628 Main St S, Newbury, VT 05051 Phone: 802-866-3000 Fax: 802-222-5674 |