NPI 1265777882

Corey Leblanc, PAC

Practitioner Physician Assistant Newport, VT

Practice location

Address: 2559 Glen Rd, Newport, VT 05855-9758
Phone: (802) 334-3364
Mailing address: 164 Leadville Rd, Newport Center, VT 05857-9495

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031397 (VT)

Other Physician Assistant providers in Vermont →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 040.0086261 (VT)

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Registry record

NPI: 1265777882
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2012
Record last updated: 13 Sep 2018

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.