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-- LEONARD DELORENZO III PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1104851633
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
160 ALLEN ST, RUTLAND, VT, 057014560
Phone
(802) 747-1831
Fax
(802) 747-1826

Specialties & Taxonomies

Physician Assistant License: FL #PA9101620
Physician Assistant Primary License: VT #055-0031054

All Addresses

MAILING

160 ALLEN ST

RUTLAND, VT, 057014560

(802) 747-1831

LOCATION

160 ALLEN ST

RUTLAND, VT, 057014560

(802) 747-1831