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Individual
DR. LESLIE C LOCKRIDGE
Active
Individual
DR. LESLIE C LOCKRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD10934
RI
207RH0000X
Hematology (Internal Medicine) Physician
Primary
E18889
AR
207RH0003X
Hematology & Oncology Physician
042-0011226
VT
207RH0003X
Hematology & Oncology Physician
0420011226
VT
207RH0003X
Hematology & Oncology Physician
217751
MA
207RH0003X
Hematology & Oncology Physician
MD10934
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013157
—
VT
05
—
9002624
—
RI
Enumeration date
12/05/2005
Last updated
04/01/2025
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