Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 0420010156 | VT |
N | 207XS0106X | Orthopaedic Hand Surgeon | 042-0010156 | VT |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0420010156 | VT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0420010156 | VT |
NPI | 1215035530 |
---|---|
Provider Name | Dr. Elizabeth Ann Mclarney |
First Address | Brattleboro, VT 05301 |
Second Address | Brattleboro, VT 05301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 16/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28059 | (02) | |
OVN2457 | (05) | VT |