Individual
OMER LEROY
Active
Individual
OMER LEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209016256
IL
363L00000X
Nurse Practitioner
78890
KS
363LF0000X
Family Nurse Practitioner
Primary
2015029764
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201130900B
—
KS
05
—
420035945
—
MO
Enumeration date
08/21/2015
Last updated
02/16/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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