Lockridge, Leslie C

Lockridge, Leslie C is an sole proprietor health care provider with primary practice located at 637 Union St , Newport VT 05855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Lockridge, Leslie C can be contacted via phone (802) 334-4111.

Contact Information

Primary practice address
637 Union St Newport VT 05855
Phone: (802) 334-4111
Fax: (802) 334-3281
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10934 Rhode Island
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD10934 Rhode Island
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0420011226 Vermont
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 217751 Massachusetts
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 042-0011226 Vermont

Profile Details

NPI number 1437133352
LBN Legal business name Lockridge, Leslie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Jun 28th, 2012 - about 13 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 1437133352 NPPES
Vermont MEDICAID 1013157
Vermont MEDICAID 9002624

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