Most Relevant Information
Provider Data
| NPI Number: | 1003422478 |
| Provider Name: | PAMELA LACEY LEUSCHEN APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 49558 |
Most Important Dates
| Enumeration Date: | 09/21/2020 |
| Last Updated: | 09/21/2020 |
Provider Practice Location
2050 36TH AVE SW STE 201
MINOT
ND
587017595
Practice Location Phone/Fax
| Phone: | 7018528502 |
| Fax: |
Provider Mailing Location
134 SIROCCO DR APT 2
MINOT AFB
ND
587041724
Provider Mailing Phone/Fax
| Phone: | 5016287564 |
| Fax: |