LAURENCE LEACH

MILWAUKEE, WI
NPI1760070007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95034966)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OH  APRN.CNP.0029433)
163W00000X Registered Nurse
(Licence: OH  RN.466018)
163W00000X Registered Nurse
(Licence: CA  95415323)
Enumeration Date2021-01-04
Last Update Date2025-09-11
Business Address
LAURENCE LEACH
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 816-523-0296
Mailing Address
LAURENCE LEACH
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: