Provider Demographics
NPI:1508657412
Name:LEINENWEBER, ELIZABETH SETON (PA-S)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SETON
Last Name:LEINENWEBER
Suffix:
Gender:F
Credentials:PA-S
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Mailing Address - Street 1:2915 COLFAX ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-2038
Mailing Address - Country:US
Mailing Address - Phone:312-859-8614
Mailing Address - Fax:
Practice Address - Street 1:507 N 17TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-2104
Practice Address - Country:US
Practice Address - Phone:414-288-5688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical