NPI 1063421295 · live from the CMS NPI Registry
Mark Edgar Lach, md
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1063421295, active.
NPI record
| NPI | 1063421295 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Fletcher Allen Health Care, Burlington, VT 05401 |
| Practice phone | 802-847-5647 |
| Enumerated | August 5, 2006 |
| Last updated | August 19, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | M-8607 (ID) |
| Radiology, Diagnostic Radiology | 2085R0202X | 43235-020 (WI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 19027 (OK) |
| Radiology, Diagnostic Radiology | 2085R0202X | K1519 (TX) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0011386 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.