Richardson, Leslie A
Richardson, Leslie A is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Richardson, Leslie A can be contacted via phone (910) 450-3712.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 450-3712
Fax: (910) 450-3766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 95-00703 | North Carolina |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 95-00703 | North Carolina |
Profile Details
| NPI number | 1780604751 |
|---|---|
| LBN Legal business name | Richardson, Leslie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Feb 13th, 2018 - about 7 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 | 1780604751 | NPPES |
| North Carolina | MEDICAID | 1780604751 | |
| North Carolina | Other | 71547 | |
| North Carolina | MEDICAID | NC2600 | |
| North Carolina | MEDICAID | 8971547 |
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