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Individual

LEANNA WINANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21616 76TH AVE W, SUITE 109, EDMONDS, WA 98026-7512
(425) 670-6788
(425) 670-6795
Mailing address
21616 76TH AVE W, SUITE 109, EDMONDS, WA 98026-7512
(425) 670-6788
(425) 670-6795

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00030264
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1090968
WA
Enumeration date
01/05/2007
Last updated
04/21/2015
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