Individual
LESLIE MARIE GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
855 A AVE NE, CEDAR RAPIDS, IA 52402-5057
(319) 368-9301
Mailing address
855 A AVE NE, CEDAR RAPIDS, IA 52402-5057
(319) 431-8011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4417
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700105780
—
IA
Enumeration date
05/31/2010
Last updated
01/07/2014
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