Individual
MRS. MEGAN MARIE LEON
Active
Individual
MRS. MEGAN MARIE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5936-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356900757
NPI
WI
Enumeration date
06/10/2019
Last updated
02/29/2024
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