Individual
ELLIE LEE LEASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3689
(715) 685-5500
Mailing address
145 MICHAEL ST, CHIPPEWA FALLS, WI 54729-4033
(715) 209-4850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5355-23
WI
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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