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NPI Code Detail

MEDICARE: LEE E LEINWETTER DO

MEDICARE: LEE E LEINWETTER DO
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 Physician05-32861KS
2207P00000XEmergency Medicine Physician0532861KS

General Provider Information

NPI Number : 1841412376
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE E LEINWETTER DO
Provider Business Mailing Address
First Line : DEPT CH 14389
Second Line :
City : PALATINE
State : IL
Zip : 60055-4389
Country : US
Telephone Number : 785-295-5307
Fax Number : 785-270-7646
Provider Business Practice Location Address
First Line : 2835 SW MISSION WOODS DR
Second Line :
City : TOPEKA
State : KS
Zip : 66614-5616
Country : US
Telephone Number : 785-271-1818
Fax Number : 785-232-0739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 04/02/2014

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Directions to “ LEE E LEINWETTER DO” Practice Location

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