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Contact Information

LESLIE M LAZORE MACK, DO
1903 MORGANTOWN RD
READING, PA19607
 Phone: 610-777-4040
 Fax: 610-777-5575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LESLIE M LAZORE MACK · (Female)

NPI # 1083709299
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/04/2006
Last updated 12/17/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS012389
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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