Provider Demographics
NPI:1700800984
Name:LAHIRI, JULIE ADAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ADAMS
Last Name:LAHIRI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:111 COLCHESTER AVE
Mailing Address - Street 2:UVM MEDICAL CENTER - SURGERY/VASCULAR SURGERY
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1473
Mailing Address - Country:US
Mailing Address - Phone:802-847-4548
Mailing Address - Fax:802-847-3581
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:UVM MEDICAL CENTER - SURGERY/VASCULAR SURGERY
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-4548
Practice Address - Fax:802-847-3581
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-00109992086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1011782Medicaid
NY02684384Medicaid
NY02684384Medicaid
VT1011782Medicaid