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Individual
SUSAN PRISCILLA LAX
Active
Individual
SUSAN PRISCILLA LAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
026.0135023
VT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
255146
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
101.0134152
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN255146
MA
Other
Enumeration date
04/10/2007
Last updated
08/12/2021
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