Dr. Clifton Frederick Lord
Internist - Addiction Medicine
15 State St
Windsor
, Vermont 05089-1201
Dr. Clifton Frederick Lord
Internist - Addiction Medicine
15 State St
Windsor
, Vermont 05089-1201
(802) 674-9410
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Clifton Frederick Lord
- 15 State St
- Windsor, VT
- Zip : 05089-1201
- Fax : (802) 674-9410
- Phone : (802) 674-9400
Second Address
- Dr. Clifton Frederick Lord
- 15 State St
- Windsor, VT
- Zip : 05089-1201
- Fax : (802) 674-9410
- Phone : (802) 674-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 0420007259 | VT |
National Provider Identifier
| NPI | 1497828859 |
|---|---|
| Provider Name | Dr. Clifton Frederick Lord |
| First Address | Windsor, VT 05089-1201 |
| Second Address | Windsor, VT 05089-1201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 14/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006638 | (05) | VT |
| B74345 | (02) | VT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.