Individual
DR. PAUL A. LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 394-6028
(717) 394-9223
Mailing address
PO BOX 4216, LANCASTER, PA 17604-4216
(717) 394-6028
(717) 394-9223
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD043799L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102241YYY
MEDICARE PTAN
PA
01
—
231855378
TAX ID - LANC RADIOLOGY
PA
01
—
300047048
RAILROAD MEDICARE
PA
01
—
33-1011386
TAX ID - MRI GROUP
PA
Enumeration date
05/23/2005
Last updated
04/10/2014
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