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1679542765
LESLIE R ELLIS
LOUISVILLE, KY
NPI
1679542765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: KY 35733)
Enumeration Date
2006-03-14
Last Update Date
2021-09-14
Business Address
LESLIE R ELLIS M.D.
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY 40207-4721
Phone number: 502-896-2500
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Mailing Address
LESLIE R ELLIS M.D.
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-272-5395
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