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Individual

DR. MEDERIC W LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5027
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-4911
(603) 788-5027

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9964
NH
208D00000X
General Practice Physician
Primary
9964
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30010643
NH
05
ORE4522
VT
Enumeration date
11/01/2006
Last updated
04/09/2024
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