Individual
EVAN M LEIBELSPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7785 N STATE ST STE 120, LOWVILLE, NY 13367-1297
(315) 376-4505
(315) 376-4259
Mailing address
7785 N STATE ST STE 120, LOWVILLE, NY 13367-1297
(315) 376-4505
(315) 376-4259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/02/2010
Last updated
08/12/2021
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