Individual
LEANNE KATHLEEN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 23RD ST NW, MEDICAL STAFF OFFICE RM G2044, WASHINGTON, DC 20037-2342
(202) 715-4479
(202) 715-4477
Mailing address
8401 BROOKSIDE GLEN DR, TINLEY PARK, IL 60487-7045
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA030992
DC
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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