Delorenzo, Leonard

Delorenzo, Leonard is an individual health care provider with primary practice located at 160 Allen St , Rutland VT 05701-4560. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Delorenzo, Leonard can be contacted via phone (802) 747-1831.

Contact Information

Primary practice address
160 Allen St Rutland VT 05701-4560
Phone: (802) 747-1831
Fax: (802) 747-1826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101620 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0031054 Vermont

Profile Details

NPI number 1104851633
LBN Legal business name Delorenzo, Leonard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104851633 NPPES
Florida MEDICAID 291646100

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