Individual
LEERA M BRICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
76086
MA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
76086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101509
—
MA
Enumeration date
02/08/2006
Last updated
03/16/2009
Update your record
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