Individual
MR. LEOPOLDO POBLETE LEGASPI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3100
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD073981L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018601230002
—
PA
Enumeration date
04/11/2006
Last updated
10/08/2020
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