| Doctor Name: | LESLIE FREEL |
| NPI Number: | 1588738827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTIONER |
| License Number: | 4704201128 |
| Business Practice Address: | 7742 North M 129 Pickford, MI - 49774 |
| Business Phone Number: | 9066472217 |
| Business Fax Number: | |
| Mailing Address: | 7742 N M-129, Po Box 506 PICKFORD |
| State: | MI |
| Postal Code: | 49774 |
| Phone Number: | 9066472217 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704201128 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |