NPI 1053536110

Teresa L Leatherland, CST

Practitioner Surgical Technologist Lafayette, IN

Practice location

Address: 904 South St, Lafayette, IN 47901-1416
Phone: (765) 742-2441
Fax: (765) 742-2344
Mailing address: PO Box 4699, Lafayette, IN 47903-4699

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence 102773 (IN)

Other Specialist/Technologist, Other providers in Indiana →

Registry record

NPI: 1053536110
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.