Healthcare Provider Details

I. General information

NPI: 1861842817
Provider Name (Legal Business Name): RACHEL A.N. LAROCCA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 GRANGER RD STE 2
BARRE VT
05641-5352
US

IV. Provider business mailing address

246 GRANGER RD
BARRE VT
05641-5344
US

V. Phone/Fax

Practice location:
  • Phone: 802-225-5810
  • Fax: 802-371-4821
Mailing address:
  • Phone: 802-225-5810
  • Fax: 802-371-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0420014459
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: