Provider Demographics
NPI:1902991540
Name:QUICK, LESLEE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:LESLEE
Middle Name:ANN
Last Name:QUICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LESLEE
Other - Middle Name:ANN
Other - Last Name:MESSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:723 WOBURN STREET
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887
Mailing Address - Country:US
Mailing Address - Phone:978-658-7700
Mailing Address - Fax:978-658-7703
Practice Address - Street 1:723 WOBURN STREET
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887
Practice Address - Country:US
Practice Address - Phone:978-658-7700
Practice Address - Fax:978-658-7703
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2429111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY45677Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE