Provider Demographics
NPI:1023054129
Name:LEUWERKE, LESLEY ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:ANN
Last Name:LEUWERKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 KENSINGTON CT
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-3803
Mailing Address - Country:US
Mailing Address - Phone:515-961-1904
Mailing Address - Fax:
Practice Address - Street 1:800 E 1ST ST STE 1800
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-2100
Practice Address - Country:US
Practice Address - Phone:515-643-7590
Practice Address - Fax:515-643-7595
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19479183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist