Provider Demographics
NPI:1093091043
Name:DIETZ-LINDNER, LESLIE LEIGH (RRT/CPFT)
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:LEIGH
Last Name:DIETZ-LINDNER
Suffix:
Gender:F
Credentials:RRT/CPFT
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:LEIGH
Other - Last Name:LINDNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RRT/CPFT
Mailing Address - Street 1:18930 WHIRLAWAY RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7201
Mailing Address - Country:US
Mailing Address - Phone:907-694-7062
Mailing Address - Fax:
Practice Address - Street 1:18930 WHIRLAWAY RD
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7201
Practice Address - Country:US
Practice Address - Phone:907-694-7062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered