Provider Demographics
NPI:1750666384
Name:MOUNTAIN VIEW NATURAL MEDICINE
Entity Type:Organization
Organization Name:MOUNTAIN VIEW NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENBECK
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-860-3366
Mailing Address - Street 1:185 TILLEY DR
Mailing Address - Street 2:SUITE 51
Mailing Address - City:S BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-4484
Mailing Address - Country:US
Mailing Address - Phone:802-860-3366
Mailing Address - Fax:802-497-0461
Practice Address - Street 1:185 TILLEY DR
Practice Address - Street 2:SUITE 51
Practice Address - City:S BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-4484
Practice Address - Country:US
Practice Address - Phone:802-860-3366
Practice Address - Fax:802-497-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099-0000005175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1015128Medicaid