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NPI Code Detail

MEDICARE: LESLIE PACKER MD

MEDICARE: LESLIE PACKER 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
1207LP2900XPain Medicine (Anesthesiology) PhysicianMD044605LPA
2207L00000XAnesthesiology PhysicianMD044605LPA

General Provider Information

NPI Number : 1457351025
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE PACKER MD
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 111 S FRONT ST
Second Line :
City : HARRISBURG
State : PA
Zip : 17101-2010
Country : US
Telephone Number : 717-721-6959
Fax Number : 717-671-1107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 12/05/2025

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Directions to “ LESLIE PACKER MD” Practice Location

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