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Individual

DR. DEBRA G. LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
111 COLCHESTER AVENUE, MAIL STOP 233MP1, BURLINGTON, VT 05401-1473
(802) 847-6124
(802) 847-3509
Mailing address
111 COLCHESTER AVENUE, MAIL STOP 233MP1, BURLINGTON, VT 05401-1473
(802) 847-6124
(802) 847-3509

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
181078
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
042.0012569
VT
207ZP0101X
Anatomic Pathology Physician
042.0012569
VT

Other

Enumeration date
07/11/2006
Last updated
01/15/2015
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