Doctor Name: | DR. JULIE D. LEYZOREK HARE |
NPI Number: | 1104113190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25895 |
Business Practice Address: | 150 Duncan Road Buckeye, WV - 249249037 |
Business Phone Number: | 3047997400 |
Business Fax Number: | 3047992276 |
Mailing Address: | 150 Duncan Road, BUCKEYE |
State: | WV |
Postal Code: | 249249037 |
Phone Number: | 3047997400 |
Fax Number: | 3047992276 |
NPI Enumeration Date: | 06/29/2011 |
NPI Last Update Date: | 01/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 25895 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |