Individual
JULIE REBECCA LEEGWATER-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
41 MALL RD, LAHEY CLINIC - DEPT OF NEUROLOGY, BURLINGTON, MA 01805
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-5100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
228643
MA
2084N0400X
Neurology Physician
232575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073609A
—
MA
Enumeration date
05/26/2006
Last updated
02/16/2011
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