# LESLIE M CONROY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154046696
- **Authorized official:** DR. LESLIE M CONROY MD (OWNER)
- **Authorized official phone:** (802) 865-3450

## Contact information

- **Practice address:** 86 LAKE ST, BURLINGTON, VT 05401-5297
- **Practice address phone:** (802) 865-3450
- **Mailing address:** 86 LAKE ST, BURLINGTON, VT 05401-5297
- **Mailing address phone:** (802) 865-3450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2022
- **Last updated:** 10/06/2022