Individual
DR. LESLIE LEICHT
Active
Individual
DR. LESLIE LEICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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