Individual
DR. LESLIE LANCASTER TAYLOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 N. BRIGHTLEAF BLVD., SMITHFIELD, NC 27577
(919) 934-8171
Mailing address
PO BOX 5468, MARTINSVILLE, VA 24115-5468
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25450
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82099
BCBS NC
NC
05
—
8982099
—
NC
01
—
P00923433
RAILROAD MEDICARE
—
Enumeration date
10/05/2006
Last updated
10/08/2014
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