Individual
LEEANNE MARIE COAKLEY
Active
Individual
LEEANNE MARIE COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41026
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021559
KAISER PROVIDER NUMBER
CO
05
—
53322851
—
CO
Enumeration date
08/21/2006
Last updated
05/11/2021
Update your record
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