Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Pediatrics, PLLC

Organization Pediatrics Physician · NPI 1104880426

Lakeside Pediatrics, PLLC is a Pediatrics Physician in Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2006.

Licensed in
VT
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

128 Lakeside Ave Ste 115
Burlington, VT 05401-4939
Phone: (802) 860-1928
Fax: (802) 860-0192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0420006081 (VT)

Record details

NPI number1104880426
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lynn Bergeron — Business Office Manager · (802) 860-1928
Other names Hagan, Rinehart & Connolly Pediatrics
NPI enumeratedApril 13, 2006
Last updated in NPPESAugust 27, 2019
Mailing address128 Lakeside Ave, Suite 115, Burlington, VT 05401-4939

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