Individual
AMY LEAZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
(857) 307-3300
Mailing address
301 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130-4807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6955
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/27/2019
Last updated
05/22/2019
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