Individual
LEEANNE F. TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(547) 647-1840
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01085832A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01085832A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236040511
MEDICARE
IN
01
—
261970151
MEDICARE
IN
05
—
300052952
—
IN
Enumeration date
04/09/2015
Last updated
03/20/2023
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