Drs Peter And Lisa Hogenkamp PC
Family Medicine in Rutland, VT. Organization (NPI-2).
NPI number1679636765
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1679636765
- Entity type
- Organization (NPI-2)
- Legal business name
- Drs Peter And Lisa Hogenkamp PC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Certification date
- Dec 15, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
10 Commons StRutland, VT 05701-4651
Phone 802-747-3359 · Fax 802-786-5204
Mailing address
10 Commons StRutland, VT 05701-4651
Phone 802-747-3359 · Fax 802-786-5204
Authorized official
Lisa M Hogenkamp
MD
8027473359
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