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Individual
LEAH M SIEGFRIED
Active
Individual
LEAH M SIEGFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0110002709
VA
363A00000X
Physician Assistant
0110002709
VA
363A00000X
Physician Assistant
Primary
089704
IA
Other
Enumeration date
06/17/2008
Last updated
04/25/2018
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