Individual
LAURIE ANNE LEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(415) 344-4168
(458) 201-8510
Mailing address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(415) 343-4168
(458) 201-8510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00333
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500616916
—
OR
Enumeration date
08/18/2006
Last updated
12/07/2024
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