Dr. Leslie Jean Mortland
Pediatrician Pediatric Hematology-Oncologist
1900 Centracare Cir # 1300 Centracare Clinic Health Plaza Pediatric And Adolescent
Saint Cloud
, Minnesota 56303-5000
Dr. Leslie Jean Mortland
Pediatrician Pediatric Hematology-Oncologist
1900 Centracare Cir # 1300 Centracare Clinic Health Plaza Pediatric And Adolescent
Saint Cloud
, Minnesota 56303-5000
(320) 654-3647
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Dr. Leslie Jean Mortland
- 1900 Centracare Cir # 1300 Centracare Clinic Health Plaza Pediatric And Adolescent
- Saint Cloud, MN
- Zip : 56303-5000
- Fax : (320) 654-3647
- Phone : (320) 654-3610
Second Address
- Dr. Leslie Jean Mortland
- 1900 Centracare Cir # 1300 Centracare Clinic Health Plaza Pediatric And Adolescent
- Saint Cloud, MN
- Zip : 56303-5000
- Fax : (320) 654-3647
- Phone : (320) 654-3610
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 49019 | AZ |
| Y | 208000000X | Pediatrician | 53414 | MN |
| N | 208000000X | Pediatrician | TRN9066 | FL |
| N | 2080P0207X | Pediatric Hematology-Oncologist | 55982 | WI |
National Provider Identifier
| NPI | 1093859654 |
|---|---|
| Provider Name | Dr. Leslie Jean Mortland |
| First Address | Saint Cloud, MN 56303-5000 |
| Second Address | Saint Cloud, MN 56303-5000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2007 |
| Last Update Date | 16/12/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.