MEDICARE: MR. LESLIE ANDREW SZIEBERT M.D.

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	2084P0800X	Psychiatry Physician	MD00026291	WA

General Provider Information

NPI Number	:	1801266093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LESLIE ANDREW SZIEBERT M.D.

Provider Business Mailing Address
First Line	:	9601 STEILACOOM BLVD SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-7213
Country	:	US
Telephone Number	:	253-582-8900
Fax Number	:	253-756-2963

Provider Business Practice Location Address
First Line	:	9601 STEILACOOM BLVD SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98498-7213
Country	:	US
Telephone Number	:	253-582-8900
Fax Number	:	253-756-2963

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

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	09/30/2015

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