Individual
LEE ANN M. LEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 BEVERLY DR, CHESTERTON, IN 46304-3470
(219) 921-0360
Mailing address
101 BEVERLY DR, CHESTERTON, IN 46304-3470
(219) 921-0360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001011A
IN
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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