Briceno, Leera M
Briceno, Leera M is an individual health care provider with primary practice located at 31 Roche Bros Way Suite 200, North Easton MA 02356-1032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Briceno, Leera M can be contacted via phone (508) 535-3376.Contact Information
Primary practice address
31 Roche Bros Way Suite 200
North Easton MA 02356-1032
Phone: (508) 535-3376
Fax: (508) 535-3377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 76086 | Massachusetts |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 76086 | Massachusetts |
Profile Details
| NPI number | 1952374209 |
|---|---|
| LBN Legal business name | Briceno, Leera M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 16th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952374209 | NPPES |
| Massachusetts | MEDICAID | 3101509 |
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