Provider Demographics
NPI:1073716999
Name:WARLICK, LEIGH (NCLMBT,)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:WARLICK
Suffix:
Gender:F
Credentials:NCLMBT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2144 HENDERSONVILLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-5706
Mailing Address - Country:US
Mailing Address - Phone:828-687-0506
Mailing Address - Fax:828-687-0506
Practice Address - Street 1:2144 HENDERSONVILLE RD STE B
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-5706
Practice Address - Country:US
Practice Address - Phone:828-687-0506
Practice Address - Fax:828-687-0506
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC447174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist