Individual
DR. ELEANOR LACAVA CAPELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC, ACC 4TH FLOOR, BURLINGTON, VT 05401-1473
(802) 847-5066
Mailing address
11 HARBOR RIDGE RD, SOUTH BURLINGTON, VT 05403-7880
(802) 864-4530
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
042-0006511
VT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
042-0006511
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005158
—
VT
01
—
00689010
NY MEDICAID
NY
Enumeration date
07/06/2006
Last updated
09/11/2025
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