Provider Demographics
NPI:1821439852
Name:STONE, LARA M (DPM)
Entity Type:Individual
Prefix:DR
First Name:LARA
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 TILLEY DR.
Mailing Address - Street 2:UVM MEDICAL CENTER/ORTHOPEDICS, FOOT & ANKLE
Mailing Address - City:S. BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401
Mailing Address - Country:US
Mailing Address - Phone:802-847-4690
Mailing Address - Fax:
Practice Address - Street 1:192 TILLEY DR.
Practice Address - Street 2:UVM MEDICAL CENTER/ORTHOPEDICS, FOOT & ANKLE
Practice Address - City:S. BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401
Practice Address - Country:US
Practice Address - Phone:802-847-4690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILPR00124213ES0103X
MACLPR00124213ES0103X
VT056.0000191213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery