NPI 1699259648

Mountain Lake Plastic Surgery Plc

Organisation Plastic Surgery Physician Colchester, VT

Practice location

Address: 105 Westview Rd STE 120, Colchester, VT 05446-8025
Phone: (802) 318-7787

Authorised official

Name: Susan Maclennan
Title: Owner
Phone: (802) 318-7787

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Vermont →

Registry record

NPI: 1699259648
Entity type: Organization
NPI issued: 17 Sep 2018
Record last updated: 13 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.