Individual
LISA HOGENKAMP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3359
(802) 786-5204
Mailing address
10 COMMONS ST, RUTLAND, VT 05701-4651
(802) 747-3359
(802) 786-5204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009546
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VN1659
—
VT
Enumeration date
06/18/2006
Last updated
07/08/2007
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