| Doctor Name: | MRS. CYNTHIA H. LEAKER |
| NPI Number: | 1053354472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN |
| License Number: | NPF13702 |
| Business Practice Address: | 660 N Westmoreland Rd Lake Forest Hospital Emergency Department Lake Forest, IL - 600451659 |
| Business Phone Number: | 3122599943 |
| Business Fax Number: | |
| Mailing Address: | 660 N Westmoreland Rd, Emergency Department LAKE FOREST |
| State: | IL |
| Postal Code: | 600451659 |
| Phone Number: | 8472435600 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 08/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPF13702 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |