Individual
JAMES L LONTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
82 MAPLE STREET, ISLAND POND, VT 05846
(802) 723-4300
(802) 723-4544
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030123
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S31420
MEDICARE
VT
Enumeration date
04/24/2006
Last updated
07/20/2010
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