NPI 1104851633

Leonard Delorenzo, PA

Practitioner Physician Assistant Rutland, VT

Practice location

Address: 160 Allen St, Rutland, VT 05701-4560
Phone: (802) 747-1831
Fax: (802) 747-1826

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055-0031054 (VT)

Other Physician Assistant providers in Vermont →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9101620 (FL)

Registry record

NPI: 1104851633
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 22 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.