Individual
LISA MARIE LEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1715 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-4046
(210) 225-5323
(210) 225-7505
Mailing address
1715 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-4046
(210) 225-5323
(210) 225-7505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.015117
OH
207R00000X
Internal Medicine Physician
P4249
TX
208M00000X
Hospitalist Physician
Primary
P4249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3371395-01
WELLMED MEDICAID
TX
01
—
360019YLPS
WELLMED MEDICARE
TX
01
—
57.015117
OHIO TRAINING CERTIFICATE
OH
Enumeration date
11/18/2008
Last updated
01/23/2024
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