LISA LEEDHAM

CLOQUET, MN
NPI1881143022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601007983)
Enumeration Date2016-09-29
Last Update Date2020-11-09
Business Address
Ms. LISA LEEDHAM PA-C
512 SKYLINE BLVD
CLOQUET, MN 55720-3787
Phone number: 218-879-4641
Mailing Address
Ms. LISA LEEDHAM PA-C
512 SKYLINE BLVD
CLOQUET, MN 55720-1199
Phone number: 218-879-4641
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