MEDICARE: DR. PHILIP LAPLANTE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	032.0133799	VT
2	2084P0804X	Child & Adolescent Psychiatry Physician	032.0133799	VT

General Provider Information

NPI Number	:	1881099950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILIP LAPLANTE D.O.

Provider Business Mailing Address
First Line	:	57 WESTERN AVE
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-6093
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 WESTERN AVE
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-6093
Country	:	US
Telephone Number	:	802-254-0252
Fax Number	:	802-254-0153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2014
Last Update Date	:	10/26/2022

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