Individual
IZABELLA LEGUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
12387 CONNEAUT LAKE RD, CONNEAUT LAKE, PA 16316-4203
(814) 382-0221
(814) 382-0231
Mailing address
12387 CONNEAUT LAKE RD, CONNEAUT LAKE, PA 16316-4203
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
PA
Other
Enumeration date
04/02/2025
Last updated
07/22/2025
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