NPI 1104851633 · live from the CMS NPI Registry
Leonard Delorenzo, PA
Physician Assistant in Rutland, VT. National Provider Identifier 1104851633, active.
NPI record
| NPI | 1104851633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 160 Allen St, Rutland, VT 05701 |
| Practice phone | 802-747-1831 |
| Enumerated | July 12, 2006 |
| Last updated | August 22, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA9101620 (FL) |
| Physician Assistant primary | 363A00000X | 055-0031054 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.