Lord, Clifton Frederick

Lord, Clifton Frederick is an sole proprietor health care provider with primary practice located at 15 State St , Windsor VT 05089-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Lord, Clifton Frederick can be contacted via phone (802) 674-9400.

Contact Information

Primary practice address
15 State St Windsor VT 05089-1201
Phone: (802) 674-9400
Fax: (802) 674-9410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 0420007259 Vermont

Profile Details

NPI number 1497828859
LBN Legal business name Lord, Clifton Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Nov 14th, 2011 - about 15 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 1497828859 NPPES
Vermont MEDICAID 0006638

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