Individual
LEAH ANNE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1076
(562) 544-2066
Mailing address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1076
(562) 544-2066
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2022009962
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2022009962
MO
208600000X
Surgery Physician
2020017734
MO
Other
Enumeration date
06/17/2020
Last updated
01/30/2026
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