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Lakeside Pediatrics, Pllc

Pediatrics Physician in Burlington, VT · enumerated 2006 · authorized official Lynn Bergeron, Business Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104880426

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Pediatrics, Pllc
Other name <Unavail>
Practice address 128 Lakeside Ave, Suite 115, Burlington, VT, 05401
Phone (802) 860-1928
Fax (802) 860-0192
Enumeration date Apr 13, 2006
Last updated in NPPES Aug 27, 2019

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 0420006081 (VT) Primary

Authorized official

Name Lynn Bergeron
Title Business Office Manager
Phone (802) 860-1928

Other identifiers

Identifier Type State Issuer
33869 Other VT MVP
58026HAGA Other VT BCBS
1007673 Medicaid VT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lakeside Pediatrics, Pllc?
The NPI for Lakeside Pediatrics, Pllc is 1104880426, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lakeside Pediatrics, Pllc?
NPPES lists Lynn Bergeron (Business Office Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-27.