Individual
LEAH B CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 PEARL ST, SUITE 2400, BROCKTON, MA 02301-2864
(508) 897-6130
(508) 897-6135
Mailing address
1 PEARL ST, SUITE 2400, BROCKTON, MA 02301-2864
(508) 897-6130
(508) 897-6135
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
184446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325571
—
MA
Enumeration date
11/07/2005
Last updated
05/11/2008
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