Individual
DR. MARK EDGAR LACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401-1473
(802) 847-5647
Mailing address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401-1473
(802) 847-5647
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042-0011386
VT
2085R0202X
Diagnostic Radiology Physician
19027
OK
2085R0202X
Diagnostic Radiology Physician
43235-020
WI
2085R0202X
Diagnostic Radiology Physician
K1519
TX
2085R0202X
Diagnostic Radiology Physician
M-8607
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806357400
—
ID
Enumeration date
08/05/2006
Last updated
08/19/2008
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