Leslie A Richardson, M.D.
Pediatrics, Developmental - Behavioral Pediatrics in Camp Lejeune, NC. Individual provider (NPI-1).
NPI number1780604751
StatusActive
Last updated in NPPESJan 8, 2025
Details
- NPI
- 1780604751
- Entity type
- Individual (NPI-1)
- Name
- Leslie A Richardson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2006
- Certification date
- Jan 8, 2025
- Last updated
- Jan 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | 95-00703 | NC | Yes |
| 208000000X | Pediatrics | 95-00703 | NC |
Practice location
100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone 910-450-3712 · Fax 910-450-3766
Mailing address
100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone 910-450-4127 · Fax 910-450-3766
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