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Individual

TIMOTHY J LENSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 772-3386
(802) 773-4578
Mailing address
215 STRATTON RD, RUTLAND, VT 05701-4621
(802) 855-2027
(802) 855-2053

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
055-0030458
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000248
VT
Enumeration date
04/21/2006
Last updated
07/21/2015
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