Provider Demographics
NPI:1184632564
Name:HAGGLUND, LEIGH (RN)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:HAGGLUND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:LAMBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 TWELVE OAKS CENTER DR STE 700
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-4405
Mailing Address - Country:US
Mailing Address - Phone:612-567-7574
Mailing Address - Fax:612-567-7574
Practice Address - Street 1:700 TWELVE OAKS CENTER DR STE 700
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4405
Practice Address - Country:US
Practice Address - Phone:612-567-7574
Practice Address - Fax:612-567-7574
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR132133-5364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult