Individual
LIANE J LEEDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 OLD DIKE RD, TRUMBULL, CT 06611-3334
(203) 615-1633
Mailing address
140 OLD DIKE RD, TRUMBULL, CT 06611-3334
(203) 615-1633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31647
CT
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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