Individual
LEANDRA M COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 S VILLA DR, EVANSVILLE, IN 47714-2535
(812) 479-1437
(812) 479-8378
Mailing address
607 S VILLA DR, EVANSVILLE, IN 47714-2535
(812) 479-1437
(812) 479-8378
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001315A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100356190
—
IN
Enumeration date
08/27/2012
Last updated
08/27/2012
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