Provider Demographics
NPI:1346685997
Name:HANIGAN, LEIGH DEBROSSE (LIC AC, DIPL CHM)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:DEBROSSE
Last Name:HANIGAN
Suffix:
Gender:F
Credentials:LIC AC, DIPL CHM
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:KRISTIN
Other - Last Name:DEBROSSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 NIXON RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3017
Mailing Address - Country:US
Mailing Address - Phone:508-789-3489
Mailing Address - Fax:
Practice Address - Street 1:50 NIXON RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-3017
Practice Address - Country:US
Practice Address - Phone:508-789-3489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist