Provider Demographics
NPI:1306426556
Name:LEIZMAN, JULIE A (NBC-HWC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:LEIZMAN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 AYRSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1420
Mailing Address - Country:US
Mailing Address - Phone:216-533-6418
Mailing Address - Fax:
Practice Address - Street 1:7210 AYRSHIRE LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1420
Practice Address - Country:US
Practice Address - Phone:216-533-6418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach