Individual
LEAH G CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
908 JEFFERSON ST, SEATTLE, WA 98104-2433
(206) 744-0401
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60229443
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0281761
L&I
WA
05
—
1548341811
—
WA
Enumeration date
10/17/2006
Last updated
06/11/2012
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