Provider Demographics
NPI:1962779009
Name:WOLCOTT, LEAH V (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:V
Last Name:WOLCOTT
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 EASTMAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-2107
Mailing Address - Country:US
Mailing Address - Phone:603-727-4227
Mailing Address - Fax:
Practice Address - Street 1:5 EASTMAN HILL RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-2107
Practice Address - Country:US
Practice Address - Phone:603-727-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH05VWTL77241374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula