Individual
MISS MICHELLE ANN LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7000
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5211
CT
363A00000X
Physician Assistant
P7785
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/04/2010
Last updated
10/27/2022
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