Northeast Kingdom Hematology Oncology Pllc, NPI 1689094039
Hematology & Oncology Physician in Newport, VT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1689094039
NPI Entity Type Organization
Provider Name Northeast Kingdom Hematology Oncology Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 637 Union St, Newport, VT, US
Provider Mailing Address Po Box 838, 637 Union Street, Newport, VT, US, 058555498
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Leslie C Lockridge
Official Position SOLE PROPRIETOR/SOLE OWNER
Phone 802-334-7177

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 0420011226
License State VT
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

Northeast Kingdom Hematology Oncology Pllc
637 Union St

Newport, VT, US

Phone: 802-334-7177
Fax: 802-487-9299

Mailing Address

Northeast Kingdom Hematology Oncology Pllc
Po Box 838
637 Union Street
Newport, VT, US
ZIP 058555498
Phone: 802-334-7177
Fax: 802-487-9299

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Brattleboro, VT

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