Provider Demographics
NPI:1063885986
Name:LEKLAN PC
Entity type:Organization
Organization Name:LEKLAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-444-1777
Mailing Address - Street 1:2340 E MEYER BLVD
Mailing Address - Street 2:BLDG 2, SUITE 346
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1105
Mailing Address - Country:US
Mailing Address - Phone:816-444-1777
Mailing Address - Fax:816-333-3277
Practice Address - Street 1:2340 E MEYER BLVD
Practice Address - Street 2:BLDG 2, SUITE 346
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1105
Practice Address - Country:US
Practice Address - Phone:816-444-1777
Practice Address - Fax:816-333-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012035761208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty