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Individual

LEANN M WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4730 CHICAGO AVE, MINNEAPOLIS, MN 55407-3570
(612) 313-0000
Mailing address
1880 LIVINGSTON AVENUE, SUITE 102, WEST ST. PAUL, MN 55118
(651) 552-7999
(651) 552-0777

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42786
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253683800
MN
Enumeration date
02/02/2006
Last updated
04/14/2023
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