Individual
REGAN DONN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDHHS CPRC
Contact information
Practice address
913 W HOLMES RD STE 200, LANSING, MI 48910-0411
(517) 887-0226
Mailing address
507 E GANSON ST, JACKSON, MI 49201-1609
(269) 599-6412
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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