Individual
DR. WILLIAM DOUGLAS LEUSINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1012 W ABRIENDO AVE, PUEBLO, CO 81004-1128
(719) 583-2207
(719) 584-4160
Mailing address
41 MONTEBELLO RD STE 202, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 542-9638
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0053353
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0053353
CO
Other
Enumeration date
04/11/2006
Last updated
10/04/2018
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