Vermont State Colleges
Family Medicine in Lyndonville, VT. Organization (NPI-2).
NPI number1760601256
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1760601256
- Entity type
- Organization (NPI-2)
- Legal business name
- Vermont State Colleges
- Organization subpart
- No
- Enumeration date
- Apr 24, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Lyndon State College (Doing Business As)
Practice location
Lyndon State College1001 College Road
Lyndonville, VT 05851
Phone 802-626-6440 · Fax 802-626-6387
Mailing address
Lyndon State College1001 College Road
Lyndonville, VT 05851
Phone 802-626-6440 · Fax 802-626-6387
Authorized official
Robert S Bean
Director Accounting Services
8026266200
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