Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Lawrence Mayer, MD, FAAP

Individual provider Pediatric Adolescent Medicine Physician · NPI 1639136559

Dr. Jack Lawrence Mayer, MD, FAAP is a Pediatric Adolescent Medicine Physician in Middlebury, Vermont. Licensed in Vermont. Registered with an NPI since 2006.

Licensed in
VT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FAAP — Fellow of the American Academy of Pediatrics
A paediatrician admitted as a fellow of the AAP.

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Practice location Address checks out

44 Collins Dr Ste 202
Middlebury, VT 05753-8528
Phone: (802) 388-1338
Fax: (802) 388-8244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 042-0004728 (VT)

Record details

NPI number1639136559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FAAP
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJuly 13, 2026
Mailing address44 Collins Dr, Suite 202, Middlebury, VT 05753-8528

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