Individual
LEAH HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1105
(617) 714-4534
Mailing address
3 ORION RD, PEPPERELL, MA 01463-1289
(978) 855-5404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MA
Other
Enumeration date
04/21/2025
Last updated
05/16/2025
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