Provider Demographics
NPI:1902318710
Name:GRAFF, LESLEE JEAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LESLEE
Middle Name:JEAN
Last Name:GRAFF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:LESLEE
Other - Middle Name:JEAN
Other - Last Name:WOLFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 S PLUM ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-3346
Practice Address - Country:US
Practice Address - Phone:605-677-3700
Practice Address - Fax:712-551-1441
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant