Wilcoxson, Lesley

Wilcoxson, Lesley is an sole proprietor health care provider with primary practice located at 1020 Stagshaw Ln , Kingsport TN 37660-1077. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wilcoxson, Lesley can be contacted via phone (423) 246-8082.

Contact Information

Primary practice address
1020 Stagshaw Ln Kingsport TN 37660-1077
Phone: (423) 246-8082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36231 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101240639 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2007-00581 North Carolina

Profile Details

NPI number 1629012927
LBN Legal business name Wilcoxson, Lesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Nov 16th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629012927 NPPES
Virginia MEDICAID 010186366

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