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Individual

LEIA LAVOIE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4735 OGLETOWN- STANTON RD MAP 2 SUITE 1208, NEWARK, DE 19713-2072
(302) 623-4055
Mailing address
4735 OGLETOWN STANTON RD MAP 2 SUITE 1208, NEWARK, DE 19713-4237
(302) 623-4055

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0000898
DE

Other

Enumeration date
09/12/2013
Last updated
07/28/2017
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