Duncan, Leslee Lynn

Duncan, Leslee Lynn is an individual health care provider with primary practice located at 3905 W Ernestine Dr , Marion IL 62959-5800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Duncan, Leslee Lynn can be contacted via phone (618) 993-5859.

Contact Information

Primary practice address
3905 W Ernestine Dr Marion IL 62959-5800
Fax: (618) 997-1588
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002485 Illinois

Profile Details

NPI number 1376562538
LBN Legal business name Duncan, Leslee Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Sep 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376562538 NPPES
Illinois MEDICAID 085002485

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