- Practice location
- 637 Union St, Newport, VT 05855-5498
- Phone
- 802-334-7177
- Fax
- —
- Last updated
- June 22, 2020
Northeast Kingdom Hematology Oncology PLLC is a healthcare organization based in Newport, VT. Northeast Kingdom Hematology Oncology PLLC practices in Newport, VT. The NPI Number for Northeast Kingdom Hematology Oncology PLLC is 1174901342 and holds a License No. 1010044793 (VT). The current practice location address for Northeast Kingdom Hematology Oncology PLLC is 637 Union St, Newport, VT 05855-5498 and can be reached out via phone at 802-334-7177.
Provider Profile Details
- NPI Number
- 1174901342
- Provider Name
- Northeast Kingdom Hematology Oncology PLLC
- Provider Entity Type
- Organization
- Address
- 637 Union St, Newport, VT 05855-5498
- Phone Number
- 802-334-7177
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Leslie C Lockridge, MD · Owner/ Sole Proprietor · 802-334-7177
- Provider Enumeration Date
- May 8, 2015
- Last Update Date
- June 22, 2020
- Certification Date
- June 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 637 Union St
Newport, VT 05855-5498 - City
- Newport
- State
- Vermont
- Zip
- 05855-5498
- Phone Number
- 802-334-7177
Provider Business Mailing Address Details
- Address
- 637 Union St
Newport, VT 05855-5498 - City
- Newport
- State
- VT
- Zip
- 05855-5498
- Phone Number
- 802-334-7177
License Information
- License Number
- 1010044793
- License State
- VT
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Northeast Kingdom Hematology Oncology PLLC?
The NPI number of Northeast Kingdom Hematology Oncology PLLC is 1174901342. It was assigned on May 8, 2015 and is currently active in the NPPES registry.
What is the specialty of Northeast Kingdom Hematology Oncology PLLC?
Northeast Kingdom Hematology Oncology PLLC is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in VT under license number 1010044793.
Where does Northeast Kingdom Hematology Oncology PLLC practice?
The practice location is 637 Union St, Newport, VT 05855-5498. The office can be reached at 802-334-7177 (phone).
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 1174901342 directly on the NPPES registry website.