Individual
LESLIE A NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-3293
(608) 723-3281
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-3293
(608) 723-3281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
383-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42917700
—
WI
Enumeration date
05/09/2006
Last updated
10/22/2007
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