Individual
MRS. LEAH M FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002604
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE/CHAMPUS
VA
01
—
10032469P
SENTARA/OPTIMA
VA
05
—
1114199981
—
VA
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
04/01/2008
Last updated
05/19/2011
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