Individual
HANNAH O LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13151 MAGISTERIAL DR STE 200, LOUISVILLE, KY 40223-4103
(502) 587-1236
Mailing address
2108 GLENCOVE WAY, LOUISVILLE, KY 40207-1241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2021
Last updated
03/02/2023
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