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Individual
DR. LESA FORD
Active
Individual
DR. LESA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
16804
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G5051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100167790A
—
OK
05
—
116821302
—
TX
Enumeration date
06/15/2006
Last updated
07/28/2014
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