Individual
GIA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 FORD AVE, LYNNFIELD, MA 01940-1838
(781) 775-3972
Mailing address
3 FORD AVE, LYNNFIELD, MA 01940-1838
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2293594
MA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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