Individual
MR. LYN LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1014 FERRIS AVE, WAXAHACHIE, TX 75165-2599
(972) 351-9984
(972) 351-9984
Mailing address
1014 FERRIS AVE, WAXAHACHIE, TX 75165-2599
(972) 351-9984
(972) 351-9984
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10239
TX
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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