| Doctor Name: | DR. LIESEL E.A. LEEDY |
| NPI Number: | 1043286883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | J3408 |
| Business Practice Address: | 1204 N Mound St Nacogdoches, TX - 759614027 |
| Business Phone Number: | 9365644611 |
| Business Fax Number: | |
| Mailing Address: | Po Box 635151, NACOGDOCHES |
| State: | TX |
| Postal Code: | 759635151 |
| Phone Number: | 9364627844 |
| Fax Number: | 9364627855 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 03/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207LP2900X |
| License Number: | J3408 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Anesthesiology |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |