Provider Demographics
NPI:1497907018
Name:LEIMER, ELISABETH BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:BARBARA
Last Name:LEIMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N WARNER RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2886
Mailing Address - Country:US
Mailing Address - Phone:610-337-7662
Mailing Address - Fax:
Practice Address - Street 1:200 N WARNER RD
Practice Address - Street 2:STE 121
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2886
Practice Address - Country:US
Practice Address - Phone:610-337-7662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034915E208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice