Individual
LEAH MELISSA FLEETWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9515
(812) 353-9275
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001085A
IN
Other
Enumeration date
06/12/2009
Last updated
11/03/2020
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