Leitzell, Lisa M.

Leitzell, Lisa M. is an individual health care provider with primary practice located at 1693 S Queen St , York PA 17403-4609. 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. Leitzell, Lisa M. can be contacted via phone (717) 845-1621.

Contact Information

Primary practice address
1693 S Queen St York PA 17403-4609
Phone: (717) 845-1621
Fax: (717) 854-6939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X SP012407 Pennsylvania

Profile Details

NPI number 1174876940
LBN Legal business name Leitzell, Lisa M.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Jul 20th, 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 1174876940 NPPES
Pennsylvania MEDICAID 103037670

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