Provider Demographics
NPI:1427500552
Name:ERATH, LAUREL (ND)
Entity type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:ERATH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:RUBY
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:69 ALLEN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4564
Mailing Address - Country:US
Mailing Address - Phone:802-772-7117
Mailing Address - Fax:802-488-5716
Practice Address - Street 1:69 ALLEN ST STE 4
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4564
Practice Address - Country:US
Practice Address - Phone:802-772-7117
Practice Address - Fax:802-488-5716
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000643175F00000X
VT099.0124439175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1028885Medicaid