Individual
LESLIE D DORAN
Active
Individual
LESLIE D DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
013300
IL
363LF0000X
Family Nurse Practitioner
Primary
209.013300
IL
Other
Enumeration date
09/28/2015
Last updated
06/19/2019
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