| Premise Health Of Vermont Medical Pc | |
|
110 Lake St Saint Albans VT 05478-2266 | |
| (802) 524-8505 | |
| (802) 527-2807 |
| Full Name | Premise Health Of Vermont Medical Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 110 Lake St, Saint Albans, Vermont |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Vermont Medical Pc 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Vermont Medical Pc 110 Lake St Saint Albans VT 05478-2266 Ph: (802) 524-8505 |
| NPI Number | 1316090665 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316090665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0420008643 (Vermont) | Primary |
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