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NPI · 1104880426 · NPPES-sourced

Lakeside Pediatrics, PLLC

ActivePediatrics
NPI Number
1104880426
Type 2 · Organisation
Taxonomy Code
208000000X
Contact
(802) 860-1928
License VT · 0420006081
Last Updated
Enumerated
Primary practice addressVT · 05401-4939
128 Lakeside Ave, Suite 115Burlington, VT 05401-4939
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About this NPIWhat this record shows.

NPI 1104880426 is registered to Lakeside Pediatrics, PLLC, a healthcare organisation classified as "Pediatrics" and located at 128 Lakeside Ave, Suite 115 in Burlington, Vermont. The organisation's authorised official is Lynn Bergeron. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 33869VT· Issued by MVP
  • 58026HAGAVT· Issued by BCBS

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Lakeside Pediatrics, PLLC accepts. To confirm in-network status with your specific health plan, contact Lakeside Pediatrics, PLLC directly at (802) 860-1928.

Frequently asked

Yes. NPI 1104880426 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (802) 860-1928.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Lakeside Pediatrics, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208000000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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