Healthcare Provider Details

I. General information

NPI: 1902991540
Provider Name (Legal Business Name): LESLEE ANN QUICK D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LESLEE ANN MESSIER D.C.

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 WOBURN STREET
WILMINGTON MA
01887
US

IV. Provider business mailing address

723 WOBURN STREET
WILMINGTON MA
01887
US

V. Phone/Fax

Practice location:
  • Phone: 978-658-7700
  • Fax: 978-658-7703
Mailing address:
  • Phone: 978-658-7700
  • Fax: 978-658-7703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2429
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: