Individual
LESLEY B MUGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 LOWER WESTFIELD RD, STE1, HOLYOKE, MA 01040-2767
(413) 536-2393
(413) 563-1087
Mailing address
150 LOWER WESTFIELD RD, STE1, HOLYOKE, MA 01040-2767
(413) 536-2393
(413) 563-1087
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3208613
—
MA
Enumeration date
03/09/2006
Last updated
12/05/2007
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