Doctor Name: | LESLIE HOUCK |
NPI Number: | 1033108360 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 43152 |
Business Practice Address: | 4545 Cordata Pkwy Bellingham, WA - 982267123 |
Business Phone Number: | 3607382200 |
Business Fax Number: | 3607525673 |
Mailing Address: | 4545 Cordata Pkwy, BELLINGHAM |
State: | WA |
Postal Code: | 982267123 |
Phone Number: | 3607382200 |
Fax Number: | 3607525673 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 07/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 43152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |