Provider Demographics
NPI:1245550094
Name:GEORGE-PAULSEN, LESLIE ELISE (DO)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ELISE
Last Name:GEORGE-PAULSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 MULBERRY AVE
Mailing Address - Street 2:UNIVERSITY OF IOWA
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761
Mailing Address - Country:US
Mailing Address - Phone:563-263-0339
Mailing Address - Fax:563-421-4449
Practice Address - Street 1:3465 MULBERRY AVE
Practice Address - Street 2:UNIVERSITY OF IOWA
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761
Practice Address - Country:US
Practice Address - Phone:563-263-0339
Practice Address - Fax:563-421-4449
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-8913207Q00000X
IA4208207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine