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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA LEEDHAM, PA-C

Active

MS. LISA LEEDHAM, PA-C is a Medical Physician Assistant healthcare provider located in CLOQUET, Minnesota. NPI 1881143022 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CLOQUET, MN

Registration Details

NPI Number
1881143022
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2016 (9.9179023265048 yrs)
Last Updated
Nov 9, 2020
License
5601007983 (MI)

Practice Information

Address
512 SKYLINE BLVD
CLOQUET, MN, 557203787
Browse MN providers · Browse ZIP 55720
Phone
2188794641
Fax
2188799167
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CLOQUET, MN

Name Credential NPI
JOHN MICHAEL STINGLE PA 1336505429
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.