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Individual

LESLIE S. DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 SPRINGBROOK DR, BIDDEFORD, ME 04005-9443
(207) 282-1500
(207) 282-2581
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9400233
NC
2084P0800X
Psychiatry Physician
Primary
MD19649
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8928566
NC
Enumeration date
06/14/2006
Last updated
06/22/2016
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