Individual
LUKE LEIPZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA224615
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA224615
STATE LICENSE
OR
Enumeration date
08/30/2023
Last updated
07/14/2025
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