Individual
LESLIE ANN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 BUTLER ST, DUNMORE, PA 18512-2815
(570) 362-3373
Mailing address
28 TOMAHAWK RD, LAKE ARIEL, PA 18436-8623
(570) 253-2123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/25/2012
Last updated
02/25/2012
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