Provider Demographics
NPI:1467095976
Name:LEAH MCQUIGG, LLC
Entity Type:Organization
Organization Name:LEAH MCQUIGG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUIGG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-476-8478
Mailing Address - Street 1:15435 GLENEAGLE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2542
Mailing Address - Country:US
Mailing Address - Phone:719-481-6788
Mailing Address - Fax:
Practice Address - Street 1:15435 GLENEAGLE DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-2542
Practice Address - Country:US
Practice Address - Phone:719-481-6788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental