Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 26295 | NE |
N | 111NI0900X | Internist | 26295 | NE |
N | 207R00000X | Internist | 35.093294 | OH |
N | 111NI0900X | Internist | 35.093294 | OH |
Y | 207R00000X | Internist | 59171 | MN |
Y | 111NI0900X | Internist | 59171 | MN |
NPI | 1003005836 |
---|---|
Provider Name | Emily Leasure |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 18/08/2020 |