Individual provider · NPI-1

Clare Nichols Drebitko, M.D.

Pediatrics, Adolescent Medicine · Lebanon, NH

NPI number1780772160
StatusActive
Last updated in NPPESMar 9, 2021

Details

NPI
1780772160
Entity type
Individual (NPI-1)
Name
Clare Nichols Drebitko
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2006
Certification date
Mar 9, 2021
Last updated
Mar 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent MedicineRT 1223NHYes

Practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone 603-650-5000

Mailing address

30 Amsden Farm Rd
Woodstock, VT 05091-8203

Phone 802-457-2906

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