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Organization

MELAINE C LAWRENCE MD

Active
Other names
Newbury Health Clinic PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELAINE C LAWRENCE MD (OWNER)
(802) 866-3000
Entity
Organization

Contact information

Practice address
4628 MAIN STREET, NEWBURY, VT 05051-9775
(802) 866-3000
(802) 866-3012
Mailing address
PO BOX 37, NEWBURY, VT 05051-0037
(802) 866-3000
(802) 866-3012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017789
VT
05
30209633
NH
Enumeration date
06/04/2010
Last updated
11/09/2010
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