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Individual

LESLIE A MONTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 560-7305
(919) 560-7478
Mailing address
104 NEW STATESIDE DR, CHAPEL HILL, NC 27516-1165
(919) 942-2803
(919) 942-2126

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200200260
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89131T2
NC
Enumeration date
10/13/2006
Last updated
08/25/2009
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