Provider Demographics
NPI:1235403452
Name:ERNEST D. LAPIERRE, M.S., L.L.C
Entity Type:Organization
Organization Name:ERNEST D. LAPIERRE, M.S., L.L.C
Other - Org Name:DR. ERNEST D. LAPIERRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LAPIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:DSN, APRN
Authorized Official - Phone:802-888-9412
Mailing Address - Street 1:17B JERSEY CT UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8381
Mailing Address - Country:US
Mailing Address - Phone:802-888-9412
Mailing Address - Fax:802-888-9412
Practice Address - Street 1:17B JERSEY CT UNIT 2
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-8381
Practice Address - Country:US
Practice Address - Phone:802-888-9412
Practice Address - Fax:802-888-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010075954363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1019763Medicaid