Provider Demographics
NPI:1275738106
Name:MARTINSON, LEAH C (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:C
Last Name:MARTINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LEAH
Other - Middle Name:C
Other - Last Name:SCHULTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4450 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-1768
Mailing Address - Country:US
Mailing Address - Phone:317-698-7457
Mailing Address - Fax:
Practice Address - Street 1:12065 OLD MERIDIAN ST STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-8774
Practice Address - Country:US
Practice Address - Phone:317-844-5351
Practice Address - Fax:317-844-0310
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068691A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice