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Individual

DR. JOHN LEWIS LEAHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 S PROSPECT ST, 5TH FLOOR - ENDOCRINE, BURLINGTON, VT 05401-3456
(802) 847-4576
Mailing address
248 RIDGEFIELD RD, SHELBURNE, VT 05482-6309
(802) 985-2077
(802) 656-8031

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42000-9309
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01668928
NY
05
0VN1388
VT
Enumeration date
10/03/2006
Last updated
07/08/2007
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