Individual
DR. LESLIE ALLAN DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB.BS, FRCSC
Contact information
Practice address
2041 GEORGIA AVE NW STE 4C2, WASHINGTON, DC 20060-0001
(202) 865-1310
(202) 865-3131
Mailing address
2041 GEORGIA AVE NW STE 4C2, WASHINGTON, DC 20060-0001
(202) 865-1310
(202) 865-3131
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD21002125
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A926350
BLUE SHIELD
CA
05
—
00A926350
—
CA
Enumeration date
09/26/2006
Last updated
09/25/2024
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