Provider Demographics
NPI:1427491984
Name:STONE, LEIGH GRACE (MD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:GRACE
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S 21ST ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-5731
Mailing Address - Country:US
Mailing Address - Phone:614-824-0992
Mailing Address - Fax:
Practice Address - Street 1:135 S 21ST ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5731
Practice Address - Country:US
Practice Address - Phone:614-824-0992
Practice Address - Fax:765-962-9641
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01078782A207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology