# FAIRFAX ASSOCIATES IN MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952780314
- **Authorized official:** DR. AUDREY ELIZABETH VON LEPEL MD (OWNER)
- **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 | 0420007724 | VT | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015