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Individual

LEIGHTON V ARCENAS

Active
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Individual

LEIGHTON V ARCENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-066279
IL
207R00000X
Internal Medicine Physician
Primary
27859
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080200
IA
01
019489
IOWA BC/BS
IA
01
067240
HEALTH ALLIANCE #
IA
01
1234733
CONTROLLED SUBSTANCE #
IA
05
421060724002
IL
01
42106072439
JOHN DEERE HEALTH
IA
01
8122859
ILLINOIS BC/BS
IL
01
IA0139
JOHN DEERE EDI #
IA
01
IL1240005
ILLINOIS MEDICARE
IL
Enumeration date
09/06/2005
Last updated
03/07/2023
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