Individual
ALEXANDRA B LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
310 E BROADWAY STE 200, LOUISVILLE, KY 40202-1745
(502) 585-5249
(502) 585-5251
Mailing address
310 E BROADWAY STE 200, LOUISVILLE, KY 40202-1745
(502) 585-5249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009450
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100370810
—
KY
Enumeration date
07/23/2015
Last updated
07/21/2022
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