Individual
MRS. LEAKAYNAH LIN SHALEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 JACOB LN, ANOKA, MN 55303-1776
(763) 587-4200
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11240
MN
Other
Enumeration date
05/16/2012
Last updated
02/25/2020
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