Lax, Susan Priscilla

Lax, Susan Priscilla is an sole proprietor health care provider with primary practice located at 782 Mountain Rd Ste D , Stowe VT 05672-4629. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lax, Susan Priscilla can be contacted via phone (617) 372-5784.

Contact Information

Primary practice address
782 Mountain Rd Ste D Stowe VT 05672-4629
Phone: (617) 372-5784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 026.0135023 Vermont
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 255146 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 101.0134152 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN255146 Massachusetts

Profile Details

NPI number 1245453398
LBN Legal business name Lax, Susan Priscilla
Credentials APRN, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Aug 12th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245453398 NPPES
Vermont MEDICAID 1033122

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