Linda H Leavenworth M.D.

NPI 1053311076 - Specialist - 174400000X

NPI Details
NPI 1053311076
Gender Female
Enumeration Date 08/01/2005
Last Updated 08/15/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
411 MASSACHUSETTS AVE
SUITE 202
ACTON MA, 01720-3739, US
Phone (978) 635-0477
Fax
Business Location
411 MASSACHUSETTS AVE
SUITE 202
ACTON MA, 01720-3739, US
Phone (978) 635-0477
Fax
Toxanomy
Taxonomy Code 174400000X
License State Massachusetts
License Number 56101
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According to our database, Dr. Linda H Leavenworth M.D. NPI is 1053311076, taxonomy code is 174400000X and license number is 56101, license state is located at Massachusetts. Linda H Leavenworth M.D. physically located at 411 Massachusetts Ave, Acton MA, 01720-3739. NPI Number Linda H Leavenworth M.D. has the Individual type.

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1053311076 NPI number is provided on an as is basis without warranty of any kind. 1053311076 is maintained by the National Plan & Provider Enumeration System. The contents of Linda H Leavenworth M.D. are for informational purposes only.