Individual
LESLY POMPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 N MACOMB ST, SUITE 410, MONROE, MI 48162-2900
(734) 242-9482
(734) 242-6503
Mailing address
730 N MACOMB ST, SUITE 410, MONROE, MI 48162-2900
(734) 242-9482
(734) 242-6503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301058720
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301058720
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2371008
—
OH
05
—
2826592-10
—
MI
05
—
4464106-10
—
MI
01
—
4470749
AETNA
—
Enumeration date
05/23/2006
Last updated
03/25/2014
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