Individual
LEAH JEAN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD16818
RI
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD16818
RI
Other
Enumeration date
05/11/2015
Last updated
08/06/2020
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