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Individual

RICHARD E LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 E MICHIGAN AVE, SUITE 655, LANSING, MI 48912-1800
(517) 884-8840
(517) 884-8865
Mailing address
804 SERVICE RD # A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301048725
MI
207VE0102X
Reproductive Endocrinology Physician
Primary
4301048725
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972542223
MI
05
5194865
MI
05
G35B
MI
Enumeration date
06/05/2006
Last updated
05/06/2021
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