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Individual

DR. LEONARD W. LABUSH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
154 WATERMAN ST, PROVIDENCE, RI 02906-3116
(401) 421-3390
(401) 621-7747
Mailing address
54 OTHMAR ST, NARRAGANSETT, RI 02882-3346
(401) 783-9217
(401) 621-7747

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00171
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007195
BCBS RI
RI
Enumeration date
06/25/2005
Last updated
10/12/2008
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