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Individual

LAURENT LEGAULT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1008 HANOVER CT, KINGSPORT, TN 37660-5839
(423) 288-9577
Mailing address
1008 HANOVER CT, KINGSPORT, TN 37660-5839
(423) 288-9577

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
26811
TN

Other

Enumeration date
01/25/2006
Last updated
07/08/2007
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