Doctor Name: | DR. LESLIE LEICHT |
NPI Number: | 1467530618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | LL069193 |
Business Practice Address: | 1282 Union Ave Memphis, TN - 381043414 |
Business Phone Number: | 9896571370 |
Business Fax Number: | 8186712225 |
Mailing Address: | Po Box 2621, GREENEVILLE |
State: | TN |
Postal Code: | 377442621 |
Phone Number: | 9896571370 |
Fax Number: | 8186712225 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 03/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | LL069193 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |