Leek, Lisa L
Leek, Lisa L is an individual health care provider with primary practice located at 5001 Hardy St , Hattiesburg MS 39402-1308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Leek, Lisa L can be contacted via phone (601) 268-8000.Contact Information
Primary practice address
5001 Hardy St
Hattiesburg MS 39402-1308
Phone: (601) 268-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 15897 | Mississippi |
Profile Details
| NPI number | 1710971635 |
|---|---|
| LBN Legal business name | Leek, Lisa L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710971635 | NPPES |
| Mississippi | MEDICAID | 00119543 |
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