Doctor Name: | DR. LEAH JENNIFER MCNEILL |
NPI Number: | 1740378132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ND |
License Number: | NT00000729 |
Business Practice Address: | 2310 130th Avenue Ne I Suite B-103 Bellevue, WA - 98005 |
Business Phone Number: | 4258812310 |
Business Fax Number: | 4258812312 |
Mailing Address: | 2310 130th Avenue Ne I, Suite B-103 BELLEVUE |
State: | WA |
Postal Code: | 98005 |
Phone Number: | 4258812310 |
Fax Number: | 4258812312 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | NT00000729 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |