Individual
ANGELA KIM LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2804 N LOOP 289, LUBBOCK, TX 79415-1410
(806) 744-7223
(806) 740-3325
Mailing address
2412 50TH ST, LUBBOCK, TX 79412-2504
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024169227
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP128060
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA0937
AZ
Other
Enumeration date
03/03/2011
Last updated
05/05/2015
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