Healthcare Provider Details

I. General information

NPI: 1841412376
Provider Name (Legal Business Name): LEE E LEINWETTER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 04/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 SW MISSION WOODS DR
TOPEKA KS
66614-5616
US

IV. Provider business mailing address

DEPT CH 14389
PALATINE IL
60055-4389
US

V. Phone/Fax

Practice location:
  • Phone: 785-271-1818
  • Fax: 785-232-0739
Mailing address:
  • Phone: 785-295-5307
  • Fax: 785-270-7646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0532861
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number05-32861
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: