Provider Demographics
NPI:1063799674
Name:GARNER, LEAH MARIE (CD(DONA) PCD(DONA))
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:GARNER
Suffix:
Gender:F
Credentials:CD(DONA) PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 AVONDALE ST
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-1105
Mailing Address - Country:US
Mailing Address - Phone:765-414-1355
Mailing Address - Fax:
Practice Address - Street 1:809 AVONDALE ST
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-1105
Practice Address - Country:US
Practice Address - Phone:765-414-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN