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

Mountain Lake Plastic Surgery PLC

Organization Plastic Surgery Physician · NPI 1699259648

Mountain Lake Plastic Surgery PLC is a Plastic Surgery Physician in Colchester, Vermont. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

105 Westview Rd Ste 120
Colchester, VT 05446-8025
Phone: (802) 318-7787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1699259648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Maclennan — Owner · (802) 318-7787
NPI enumeratedSeptember 17, 2018
Last updated in NPPESDecember 13, 2018
Mailing address105 Westview Rd Ste 120, Colchester, VT 05446-8025

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