Individual
LESLIE STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11110 CLOVER DR, BROOKVILLE, IN 47012-8521
(513) 916-7676
Mailing address
11110 CLOVER DR, BROOKVILLE, IN 47012-8521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28162563A
IN
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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