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Individual

LESLIE A RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
95-00703
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
95-00703
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780604751
NC
01
71547
NCBCBS
NC
05
8971547
NC
05
NC2600
SC
Enumeration date
07/20/2006
Last updated
01/08/2025
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