Provider Demographics
NPI:1992527576
Name:MCGAW, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:MCGAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 11TH AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-4036
Mailing Address - Country:US
Mailing Address - Phone:970-903-6576
Mailing Address - Fax:
Practice Address - Street 1:2750 11TH AVE APT 23
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-4036
Practice Address - Country:US
Practice Address - Phone:970-903-6576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information