Individual
MS. HALEIGH M. LEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1008 FIRST COLONIAL ROAD, VIRGINIA BEACH, VA 23454
(757) 481-2515
(757) 481-4064
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831473180
—
VA
Enumeration date
10/05/2011
Last updated
02/08/2012
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