Individual
MS. LESLEE LYNN DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 993-5859
(618) 997-1588
Mailing address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 993-5859
(618) 997-1588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002485
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085002485
—
IL
Enumeration date
07/19/2006
Last updated
09/16/2008
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