# TEIG MARCO DBA FAIRFAX ASSOCIATES IN MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Audrey von Lepel
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801928262
- **Authorized official:** AUDREY VON LEPEL M.D. (PHYSICIAN)
- **Authorized official phone:** (802) 849-2844

## Contact information

- **Practice address:** 1199 MAIN ST, FAIRFAX, VT 05454-9530
- **Practice address phone:** (802) 849-2844
- **Practice address fax:** (802) 849-2644
- **Mailing address:** 1199 MAIN ST, FAIRFAX, VT 05454-9530
- **Mailing address phone:** (802) 849-2844
- **Mailing address fax:** (802) 849-2644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 08/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0009284 | — | VT |