| Doctor Name: | LEAH FOUCART |
| NPI Number: | 1073835302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | 4704185724 |
| Business Practice Address: | 6920 Tamarack Ln Holly, MI - 484429157 |
| Business Phone Number: | 2486340259 |
| Business Fax Number: | |
| Mailing Address: | 6920 Tamarack Ln, HOLLY |
| State: | MI |
| Postal Code: | 484429157 |
| Phone Number: | 2486340259 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2010 |
| NPI Last Update Date: | 03/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 4704185724 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |