Active NPIIndividual provider

Leonard Delorenzo III, PA

Physician Assistant in Rutland, Vermont

NPI Number1104851633
Practice location
160 Allen St, Rutland, VT 05701-4560
Fax
802-747-1826
Last updated
August 22, 2013

Leonard Delorenzo is a Physician Assistant based in Rutland, VT. Leonard Delorenzo practices in Rutland, VT and has the professional credentials of PA. The NPI Number for Leonard Delorenzo is 1104851633 and holds a License No. PA9101620 (FL). The current practice location address for Leonard Delorenzo is 160 Allen St, Rutland, VT 05701-4560 and can be reached out via phone at 802-747-1831 and via fax at 802-747-1826.

Provider Profile Details

NPI Number
1104851633
Provider Name
Leonard Delorenzo
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
160 Allen St, Rutland, VT 05701-4560
Phone Number
802-747-1831
Fax Number
802-747-1826
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2006
Last Update Date
August 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Allen St
Rutland, VT 05701-4560
State
Vermont
Zip
05701-4560
Phone Number
802-747-1831
Fax Number
802-747-1826
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
160 Allen St
Rutland, VT 05701-4560
City
Rutland
State
VT
Zip
05701-4560
Phone Number
802-747-1831
Fax Number
802-747-1826

License Information

License Number (1)
PA9101620
License State (1)
FL
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
055-0031054
License State (2)
VT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leonard Delorenzo III, PA?

The NPI number of Leonard Delorenzo III, PA is 1104851633. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Leonard Delorenzo III, PA?

Leonard Delorenzo III, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9101620.

Where does Leonard Delorenzo III, PA practice?

The practice location is 160 Allen St, Rutland, VT 05701-4560. The office can be reached at 802-747-1831 (phone) or 802-747-1826 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104851633 directly on the NPPES registry website.

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