Individual
LORETTA M LEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 S HURON ST, CHEBOYGAN, MI 49721-2267
(231) 597-8192
Mailing address
920 S HURON ST, CHEBOYGAN, MI 49721-2267
(231) 597-8192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301042693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801601071
BCBS
MI
01
—
201541895
PRIORITY HEALTH
MI
05
—
4559907
—
MI
01
—
P00183473
RAILROAD MEDICARE
MI
Enumeration date
07/08/2006
Last updated
05/06/2013
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