Healthcare Provider Details

I. General information

NPI: 1619928462
Provider Name (Legal Business Name): LEIGH S LOPRESTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 CENTER HILL RD UNIT A
MANCHESTER CENTER VT
05255-7238
US

IV. Provider business mailing address

32 CENTER HILL RD UNIT A
MANCHESTER CENTER VT
05255-7238
US

V. Phone/Fax

Practice location:
  • Phone: 802-282-6440
  • Fax:
Mailing address:
  • Phone: 802-282-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0420007260
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: