Individual
MR. SCOTT LEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6327 CEDAR FLATS RD SW, OLYMPIA, WA 98512-9410
(360) 932-8088
Mailing address
6327 CEDAR FLATS RD SW, OLYMPIA, WA 98512-9410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61389360
WA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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