Individual
KAREN E. LEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 S MAIN ST, ATTN: ER DEPT, CROWN POINT, IN 46307-8481
(219) 757-3218
(219) 757-6882
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7241
(317) 528-4284
(317) 865-8355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01049212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000722403
ANTHEM TRADITIONAL
IN
05
—
200194340
—
IN
Enumeration date
07/07/2006
Last updated
05/01/2013
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