Individual
LEAH MARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236
(210) 926-2592
Mailing address
627 EDWIN C. MOSES BLVD, DAYTON, OH 45417
(937) 223-8840
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS13295
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2013
Last updated
06/13/2018
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