Individual
MRS. PAMELA LACEY LEUSCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2050 36TH AVE SW STE 201, MINOT, ND 58701-7595
(701) 852-8502
Mailing address
134 SIROCCO DR APT 2, MINOT AFB, ND 58704-1724
(501) 628-7564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
49558
ND
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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