| Karen E. Leitzel, Md, Llc | |
|
7636 E 109th Ave Crown Point IN 46307-9182 | |
| (219) 661-0216 | |
| (219) 661-0628 |
| Full Name | Karen E. Leitzel, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7636 E 109th Ave, Crown Point, Indiana |
| Authorized Official Name and Position | Karen E. Leitzel (OWNER) |
| Authorized Official Contact | 2196610216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen E. Leitzel, Md, Llc 7636 E 109th Ave Crown Point IN 46307-9182 Ph: (219) 661-0216 | Karen E. Leitzel, Md, Llc 7636 E 109th Ave Crown Point IN 46307-9182 Ph: (219) 661-0216 |
| NPI Number | 1245260694 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245260694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01049212A (Indiana) | Primary |
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