Lach, Mark Edgar
Lach, Mark Edgar is an individual health care provider with primary practice located at 111 Colchester Ave Fletcher Allen Health Care, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Lach, Mark Edgar can be contacted via phone (802) 847-5647.Contact Information
Primary practice address
111 Colchester Ave Fletcher Allen Health Care
Burlington VT 05401-1473
Phone: (802) 847-5647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-8607 | Idaho |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 43235-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 19027 | Oklahoma |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | K1519 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 042-0011386 | Vermont |
Profile Details
| NPI number | 1063421295 |
|---|---|
| LBN Legal business name | Lach, Mark Edgar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Aug 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063421295 | NPPES |
| Idaho | MEDICAID | 806357400 |
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