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Individual

LESLIE CHAMBERLAIN MOHLMAN

Active
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Individual

LESLIE CHAMBERLAIN MOHLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 11472
RI
208000000X
Pediatrics Physician
MD 11472
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000027854
B/C
RI
01
30177
NEIGHBORHOOD HEALTH
RI
01
411956
BCHIP
RI
01
469658
TUFTS HEALTH PLAN
RI
05
9003583
RI
01
AA13616
HARVARD PILGRIM HEALTH
RI
Enumeration date
08/02/2005
Last updated
04/18/2008
Update your record

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