Individual
MRS. LEILA REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
445 CLIFTY DR, MADISON, IN 47250-1607
(812) 273-5372
Mailing address
114 EXECUTIVE DR, SUITE E, LAFAYETTE, IN 47905-4883
(765) 446-0170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001084A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013181
—
IN
01
—
412840120
MEDICARE
IN
05
—
7100659720
—
KY
Enumeration date
06/24/2009
Last updated
03/11/2024
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