Virginia C. Brack MD
Pediatrics Physician in Lebanon, NH(View on Map)
Full Name
Virginia C Brack MD
NPI Number
1205821220
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/15/2005
Specialties
(Taxonomies)Licenses
State
Vermont
License Number
042-0010058
Contact
Information
Purpose
Mailing
Location
Address
1 CLIFF ST
1 MEDICAL CENTER DR
City
Norwich
Lebanon
State
VT
NH
Postal Code
05055-9412
03756-1000
Country
US
US
Telephone Number
(802) 649-3891
(603) 650-5000
Identifiers
Identifier
0RE6014
Identifier State
VT
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/26/2013