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NPI Code Detail

MEDICARE: LESLEY A COERT MD

MEDICARE: LESLEY A COERT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician47820WI

General Provider Information

NPI Number : 1053389122
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY A COERT MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number : 608-829-5485
Fax Number :
Provider Business Practice Location Address
First Line : 2651 WINDSOR ST
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-9825
Country : US
Telephone Number : 608-831-2206
Fax Number : 608-837-9752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 01/22/2021

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Directions to “ LESLEY A COERT MD” Practice Location

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