Individual
MRS. LEAH RAE PRAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 732-6819
Mailing address
829 S LA GRANGE RD UNIT A, LA GRANGE, IL 60525-2920
(603) 731-3493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8767
MA
363AM0700X
Medical Physician Assistant
Primary
—
MA
363AS0400X
Surgical Physician Assistant
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1161515
NCCPA
—
Enumeration date
04/01/2019
Last updated
01/14/2026
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