person
Ms. Lisa Leedham, PA-C
Medical Physician Assistant in Cloquet, Minnesota
NPI 1881143022

Lisa Leedham is a Medical Physician Assistant based in Cloquet, MN and is specialized in Medical. Lisa Leedham practices in Cloquet, MN and has the professional credentials of PA-C. The NPI Number for Lisa Leedham is 1881143022 and holds a License No. 5601007983 (Minnesota).

The current practice location address for Lisa Leedham is 512 Skyline Blvd, Cloquet, MN and can be reached out via phone at 218-879-4641 and via fax at 218-879-9167.

Location: 512 Skyline Blvd, Cloquet, MN, 55720-1199
person
Provider Profile Details
NPI Number
1881143022
Provider Name
Lisa Leedham
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
512 Skyline Blvd, Cloquet, MN, 55720-1199
Phone Number
218-879-4641
Fax Number
218-879-9167
Provider Enumeration Date
09/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
512 Skyline Blvd
City
State
Zip
55720-3787
Phone Number
218-879-4641
Fax Number
218-879-9167
person
Provider Business Mailing Address Details
Address
512 Skyline Blvd
City
State
Zip
55720-3787
Phone Number
218-879-4641
Fax Number
218-879-9167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601007983 (Michigan)
Definition
Definition to come...
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