Provider Demographics
NPI:1316623523
Name:LANE, LEIGH ANN (MCHES)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANN
Last Name:LANE
Suffix:
Gender:F
Credentials:MCHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 WATER TANK RD
Mailing Address - Street 2:
Mailing Address - City:DELCO
Mailing Address - State:NC
Mailing Address - Zip Code:28436-9423
Mailing Address - Country:US
Mailing Address - Phone:252-717-4145
Mailing Address - Fax:
Practice Address - Street 1:253 WATER TANK RD
Practice Address - Street 2:
Practice Address - City:DELCO
Practice Address - State:NC
Practice Address - Zip Code:28436-9423
Practice Address - Country:US
Practice Address - Phone:252-717-4145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174H00000XOther Service ProvidersHealth Educator