NPI 1093859654

Leslie Jean Mortland, MD

Practitioner Pediatrics Physician Saint Cloud, MN

Practice location

Address: 1900 Centracare Cir # 1300 Centracare Clinic Health Plaza Pediatric and Adolescent, Saint Cloud, MN 56303-5000
Phone: (320) 654-3610
Fax: (320) 654-3647

Registered specialties (4)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 53414 (MN)

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Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence TRN9066 (FL)

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 49019 (AZ)

Pediatric Hematology & Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0207X Licence 55982 (WI)

Registry record

NPI: 1093859654
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2007
Record last updated: 28 Mar 2023

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.