Individual
LORI BETH RACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 S PROSPECT ST, BURLINGTON, VT 05401-3456
(802) 847-4696
Mailing address
190 HINESBURG RD, CHARLOTTE, VT 05445-9378
(802) 425-3771
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VT1010923
—
VT
Enumeration date
07/24/2006
Last updated
07/09/2007
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