Individual provider · Type 1 NPI
Leslie Anne Willis
Student in an Organized Health Care Education/Training Program · Champaign, IL
NPI number
1366609935
Active
Practice location
1801 Fox Dr
Champaign, IL 61820-7236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1366609935
Leslie Anne Willis's National Provider Identifier is 1366609935, issued on May 20, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Champaign, IL. The record was last updated on May 20, 2008.