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Individual
LESLIE ELAINE SISCO
Active
Individual
LESLIE ELAINE SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
200770
LA
207XS0106X
Orthopaedic Hand Surgery Physician
200770
LA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD.200770
LA
Other
Enumeration date
03/08/2008
Last updated
11/23/2010
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