Individual
LESLIE K REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-2143
(504) 896-2720
Mailing address
1823 DAUPHINE ST, NEW ORLEANS, LA 70116-1926
(501) 658-4419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013-01632
NC
208000000X
Pediatrics Physician
Primary
MD.207234
LA
208M00000X
Hospitalist Physician
2013-01632
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1177130
—
LA
05
—
1922325612
—
NC
05
—
NC1850
—
SC
Enumeration date
04/21/2010
Last updated
09/18/2014
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