Individual
LESLY TATIANA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 S SANTA FE AVE, SUITE 300, SALINA, KS 67401
(785) 823-1032
(785) 452-7807
Mailing address
501 S SANTA FE AVE, SUITE 300, SALINA, KS 67401
(785) 823-1032
(785) 452-7807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02211
KS
363AM0700X
Medical Physician Assistant
15-02211
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201243810A
—
KS
Enumeration date
11/29/2010
Last updated
03/04/2020
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