Healthcare Provider Details

I. General information

NPI: 1134115090
Provider Name (Legal Business Name): LORNE MARSHALL NEWTON BABB M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 WATER TOWER RD SUITE 1
ENOSBURG FALLS VT
05450-6097
US

IV. Provider business mailing address

600 BLAIR PARK RD STE 285
WILLISTON VT
05495-7586
US

V. Phone/Fax

Practice location:
  • Phone: 802-933-6664
  • Fax: 802-933-8333
Mailing address:
  • Phone: 802-288-1140
  • Fax: 802-288-1144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0420007785
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: