Individual
LEA A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
477 COY BLVD, FORSYTH, MO 65653-5132
(417) 546-6337
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(305) 564-9655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004006987
MO
Other
Enumeration date
10/26/2005
Last updated
11/14/2025
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