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Individual

LINDSEY BRETT LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-356
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-21807
BCBS OF AL 1500 RCC
AL
01
515-21808
BCBS OF AL 4300 W. MAIN
AL
Enumeration date
08/17/2005
Last updated
07/08/2007
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