Organization
LEEANA HAUSER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANA HAUSER (PATHOLOGIST)
(208) 678-3063
Entity
Organization
Contact information
Practice address
1321 OAKLEY AVE #2, BURLEY, ID 83318-0001
(208) 678-3063
(208) 677-3111
Mailing address
1321 OAKLEY AVE, STE 2, BURLEY, ID 83318-1859
(208) 678-3063
(208) 677-3111
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
M-7101
ID
Other
Enumeration date
03/13/2008
Last updated
03/30/2010
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