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Individual
ELDON LESTER LEINWEBER
Active
Individual
ELDON LESTER LEINWEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0193143
LABOR &INDUSTRIES ID #
WA
01
—
1051425
NCCPA CERTIFICATION
WA
01
—
211648
LABOR & INDUSTRIES ID #
WA
01
—
6612LE
REGENCE PROVIDER #
WA
05
—
8418451
—
WA
Enumeration date
03/17/2006
Last updated
03/07/2023
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