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Individual
LESLIE N TRIPP
Active
Individual
LESLIE N TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011744
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017207
ANTHEM
ME
01
—
1042275
AETNA
ME
01
—
B86263
HARVARD PILGRIM
ME
01
—
M10003001
CIGNA
ME
Enumeration date
04/24/2006
Last updated
03/17/2008
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