Individual
LEIGH K PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
537 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713-2146
(302) 225-2380
(302) 225-2388
Mailing address
537 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713-2146
(410) 398-4679
(302) 225-2388
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
C0002871
MD
363A00000X
Physician Assistant
10004210A
IN
363AM0700X
Medical Physician Assistant
Primary
C50000618
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000845902
—
DE
05
—
300083791
—
IN
01
—
522057354
BLUE SHIELD OF DELAWARE
DE
01
—
P00229980
MEDICARE RAILROAD
—
Enumeration date
07/24/2006
Last updated
12/21/2023
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