Provider Demographics
NPI:1477874931
Name:WILLIAMS, LEIGH MARGUERITE (LMP)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:MARGUERITE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E. HASTINGS SUITE G
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WASHINGTON
Mailing Address - Zip Code:99208
Mailing Address - Country:UM
Mailing Address - Phone:509-340-3303
Mailing Address - Fax:
Practice Address - Street 1:101 E HASTINGS RD STE G
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-4901
Practice Address - Country:US
Practice Address - Phone:509-340-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60145216174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist