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Individual

DIANE M. LEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
242 GREEN ST, DEPT. PATHOLOGY, GARDNER, MA 01440-1336
(978) 630-6255
(978) 630-6258
Mailing address
242 GREEN ST, DEPT. PATHOLOGY, GARDNER, MA 01440-1336
(978) 630-6256
(978) 630-6489

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
49146
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3026531
MA
Enumeration date
09/26/2005
Last updated
12/23/2010
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