Healthcare Provider Details

I. General information

NPI: 1427500552
Provider Name (Legal Business Name): LAUREL ERATH ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUBY CHOI

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 ALLEN ST STE 4
RUTLAND VT
05701-4564
US

IV. Provider business mailing address

69 ALLEN ST STE 4
RUTLAND VT
05701-4564
US

V. Phone/Fax

Practice location:
  • Phone: 802-772-7117
  • Fax: 802-488-5716
Mailing address:
  • Phone: 802-772-7117
  • Fax: 802-488-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000643
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number099.0124439
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: