Individual
MRS. LEAH MARIE THEEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
(603) 640-1228
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101.0124948
VT
367500000X
Certified Registered Nurse Anesthetist
Primary
116798-23
NH
390200000X
Student in an Organized Health Care Education/Training Program
026.0055715
VT
390200000X
Student in an Organized Health Care Education/Training Program
059143-21
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027369
—
VT
05
—
3106313
—
NH
Enumeration date
01/21/2016
Last updated
04/14/2026
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