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Organization

CHAMPLAIN IMAGING

Active
Other names
Champlain Imaging, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLGA LOPATINA MD (OWNER)
(802) 524-1209
Entity
Organization

Contact information

Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(800) 927-0002
(603) 893-8886
Mailing address
PO BOX 8002, SALEM, NH 03079-8002
(800) 927-0002
(603) 893-8886

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102151
VT
Enumeration date
04/19/2012
Last updated
10/24/2012
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