Individual
DR. LESLIE SIERRA RENTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5078
(704) 210-5395
Mailing address
PO BOX 98146, RALEIGH, NC 27624-8146
(919) 420-7811
(919) 420-7815
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897615B
—
NC
Enumeration date
08/16/2005
Last updated
09/24/2007
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