MEDICARE: MS. LESLIE LEIGH DIETZ-LINDNER RRT/CPFT

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
1	227900000X	Registered Respiratory Therapist

General Provider Information

NPI Number	:	1093091043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE LEIGH DIETZ-LINDNER RRT/CPFT

Provider Business Mailing Address
First Line	:	18930 WHIRLAWAY RD
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-7201
Country	:	US
Telephone Number	:	907-694-7062
Fax Number	:

Provider Business Practice Location Address
First Line	:	18930 WHIRLAWAY RD
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-7201
Country	:	US
Telephone Number	:	907-694-7062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2011
Last Update Date	:	10/21/2011

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