| Doctor Name: | LESLIE BARBARA WASHBURN |
| NPI Number: | 1053365205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 209631 |
| Business Practice Address: | 33 North St Dalton, MA - 012261202 |
| Business Phone Number: | 4136842110 |
| Business Fax Number: | 4136841517 |
| Mailing Address: | 33 North St, DALTON |
| State: | MA |
| Postal Code: | 012261202 |
| Phone Number: | 4136842110 |
| Fax Number: | 4136841517 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 08/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209631 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |