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Northeast Kingdom Hematology Oncology Pllc

NPI #1689094039 in Newport, Vermont

Provider Information

NPI Number
1689094039
Entity Type
Organization
Organization Name
Northeast Kingdom Hematology Oncology Pllc
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Apr 24, 2014
Last Updated
Oct 28, 2014

Practice Location

Address
637 UNION ST
City
Newport
State
Vermont
ZIP Code
05855-5498
Phone
(802) 334-7177

Authorized Official

Name
DR. LESLIE C LOCKRIDGE, MD
Title
SOLE PROPRIETOR/SOLE OWNER
Phone
(802) 334-7177

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & Oncology — Hematology & Oncology

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