Provider Demographics
NPI:1063026284
Name:SINDONE, LEAH MAE
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MAE
Last Name:SINDONE
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 1:22324 DERBY RD
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3700
Mailing Address - Country:US
Mailing Address - Phone:734-493-2671
Mailing Address - Fax:
Practice Address - Street 1:22324 DERBY RD
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3700
Practice Address - Country:US
Practice Address - Phone:734-493-2671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist