Albert E Leis M.D.

NPI 1831191592 - Family Medicine - 207Q00000X

NPI Details
NPI 1831191592
Gender Male
Enumeration Date 08/12/2005
Last Updated 10/21/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
5129 DIXIE HWY
LOUISVILLE KY, 40216-1727, US
Phone (502) 447-3242
Fax (502) 448-4722
Business Location
6801 DIXIE HWY
SUITE 130
LOUISVILLE KY, 40258-3913, US
Phone (502) 447-3242
Fax (502) 448-4722
Toxanomy
Taxonomy Code 207Q00000X
License State Kentucky
License Number 17976
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According to our database, Albert E Leis M.D. NPI is 1831191592, taxonomy code is 207Q00000X and license number is 17976, license state is located at Kentucky. Albert E Leis M.D. physically located at 5129 Dixie Hwy, Louisville KY, 40216-1727. NPI Number Albert E Leis M.D. has the Individual type.

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1831191592 NPI number is provided on an as is basis without warranty of any kind. 1831191592 is maintained by the National Plan & Provider Enumeration System. The contents of Albert E Leis M.D. are for informational purposes only.