CAROLYN ELIZABETH LEACH

SAINT PAUL, MN
NPI1861729204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  R156707-6)
Enumeration Date2009-11-05
Last Update Date2018-05-01
Business Address
CAROLYN ELIZABETH LEACH CNP
345 SMITH AVE N
SAINT PAUL, MN 55102-2346
Phone number: 651-220-6624
Mailing Address
CAROLYN ELIZABETH LEACH CNP
5901 LINCOLN DR CBC-2-REV/PE
EDINA, MN 55436-1611
Phone number: 651-220-6624