Provider Demographics
NPI:1699580142
Name:MEINERT, LESLIE (LAC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:MEINERT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:RUSSELLTON
Mailing Address - State:PA
Mailing Address - Zip Code:15076-1317
Mailing Address - Country:US
Mailing Address - Phone:412-352-0853
Mailing Address - Fax:
Practice Address - Street 1:20111 ROUTE 19 UNIT 304
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6207
Practice Address - Country:US
Practice Address - Phone:412-352-0853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK001476171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist