Provider Demographics
NPI:1417996273
Name:LESLIE, LAUREL KRISTIN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:KRISTIN
Last Name:LESLIE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:25 LOCHSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2021
Mailing Address - Country:US
Mailing Address - Phone:619-747-7950
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST # MC345
Practice Address - Street 2:TUFTS MEDICAL CENTER FLOATING HOSPITAL FOR CHILDREN
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5090
Practice Address - Fax:617-636-3112
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG0711582080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics