Organization
VERMONT STATE COLLEGES
Active
Other names
Lyndon State College
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S BEAN (DIRECTOR ACCOUNTING SERVICES)
(802) 626-6200
Entity
Organization
Contact information
Practice address
LYNDON STATE COLLEGE, 1001 COLLEGE ROAD, LYNDONVILLE, VT 05851
(802) 626-6440
(802) 626-6387
Mailing address
LYNDON STATE COLLEGE, 1001 COLLEGE ROAD, LYNDONVILLE, VT 05851
(802) 626-6440
(802) 626-6387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007076
—
VT
01
—
37048149
BLUE CROSS BLUE SHIELD
VT
Enumeration date
04/24/2007
Last updated
08/22/2020
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