Organization
FAIRFAX ASSOCIATES IN MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY ELIZABETH VON LEPEL MD (OWNER)
(802) 849-2844
Entity
Organization
Contact information
Practice address
1199 MAIN ST, FAIRFAX, VT 05454-9530
(802) 849-2844
(802) 849-2644
Mailing address
1199 MAIN ST, FAIRFAX, VT 05454-9530
(802) 849-2844
(802) 849-2644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0420007724
VT
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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