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Individual

DR. LESLIE LEICHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1282 UNION AVE, MEMPHIS, TN 38104-3414
(989) 657-1370
(818) 671-2225
Mailing address
8483 SILVERWIND DR, MEMPHIS, TN 38125-1730
(989) 657-1370
(901) 821-0341

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
48942
TN
174400000X
Specialist
LL069193
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
48942
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1529398
TN
01
4337224
BCBS OF TN
TN
05
4657739
MI
05
5921502
NC
01
LL069193
STATE LIS #
MI
Enumeration date
11/02/2006
Last updated
10/24/2024
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