OrganizationActive
Lakeside Pediatrics, PLLC
NPI 1104880426 · Pediatrics Physician · Burlington, VT
Lakeside Pediatrics, PLLC is a Pediatrics Physician organization in Burlington, VT (NPI 1104880426).
Provider details
- NPI number
- 1104880426
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lynn Bergeron, Business Office Manager(802) 860-1928
- License
- 0420006081 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
128 Lakeside Ave
Suite 115
Burlington, VT 05401-4939
Phone: (802) 860-1928
Fax: (802) 860-0192
Street-level locationGet directions
Mailing address
128 Lakeside Ave
Burlington, VT 05401-4939
Other names (DBA / former)
- Former legal business name
- Hagan, Rinehart & Connolly Pediatrics
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2019-08-27
Frequently asked questions
- What is Lakeside Pediatrics, PLLC's NPI number?
- Lakeside Pediatrics, PLLC's National Provider Identifier (NPI) is 1104880426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Pediatrics, PLLC?
- Lakeside Pediatrics, PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lakeside Pediatrics, PLLC located?
- Lakeside Pediatrics, PLLC's practice location on file with NPPES is 128 Lakeside Ave, Burlington, VT 05401-4939.
- What is Lakeside Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Pediatrics, PLLC is (802) 860-1928.
- Who is the authorized official for Lakeside Pediatrics, PLLC?
- The authorized official listed on Lakeside Pediatrics, PLLC's NPPES record is Lynn Bergeron, Business Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Pediatrics, PLLC's NPI active?
- Yes — Lakeside Pediatrics, PLLC's NPI (1104880426) is active in the NPPES registry as of the last update on 2019-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.