Rae Larsen, Lesley

Rae Larsen, Lesley is an individual health care provider with primary practice located at 81 Medical Village Dr Suite 2, Newport VT 05855-9835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Rae Larsen, Lesley can be contacted via phone (802) 334-4110.

Contact Information

Primary practice address
81 Medical Village Dr Suite 2 Newport VT 05855-9835
Phone: (802) 334-4110
Fax: (802) 334-4113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1010030803 Vermont

Profile Details

NPI number 1649357385
LBN Legal business name Rae Larsen, Lesley
Credentials NMW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1649357385 NPPES
Vermont Other 78119 MVP
Vermont Other 00068564 MVP
Vermont Other 8000748 MVP

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