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Individual

CLAUDIA E LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 CLARENDON AVE, MONTPELIER, VT 05602-2119
(802) 223-3557
Mailing address
156 MAIN ST, MONTPELIER, VT 05602-2924
(802) 223-1222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0009953
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042-0009953
STATE LICENSE NUMBER
VT
01
05540
MVP VENDOR #
VT
01
11094
MVP PROVIDER #
VT
01
111-48663
BC/BS PROVIDER NUMBER
VT
01
43--111127330-01
STATE EIN
VT
01
54235
CIGNA VENDOR #
VT
01
542350
CIGNA PROVIDER #
VT
05
OVN2135
VT
Enumeration date
05/24/2006
Last updated
09/25/2014
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