Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301080003 | MI |
Y | 2084N0402X | Child Neurologist | 4301080003 | MI |
NPI | 1295900298 |
---|---|
Provider Name | Dr. Elizabeth Ann Leleszi |
First Address | Royal Oak, MI 48073-6770 |
Second Address | Royal Oak, MI 48073-6770 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 23/10/2020 |