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Individual

LESLIE LAZARA DE LA TORRE-REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 KILMORY AVE, LOUISVILLE, KY 40214-3009
(502) 295-2036
Mailing address
333 KILMORY AVE, LOUISVILLE, KY 40214-3009
(502) 295-2036

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
KY

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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