Koopman, Leslie

Koopman, Leslie is an individual health care provider with primary practice located at 3920 St Francis Way Suite 100, Lafayette IN 47905-4917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Koopman, Leslie can be contacted via phone (765) 428-5888.

Contact Information

Primary practice address
3920 St Francis Way Suite 100 Lafayette IN 47905-4917
Phone: (765) 428-5888
Fax: (765) 428-5897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71001768A Indiana

Profile Details

NPI number 1992736391
LBN Legal business name Koopman, Leslie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 24th, 2022 - about 2 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 1992736391 NPPES
Indiana MEDICAID 201105080

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