Provider Demographics
NPI:1508955477
Name:THRONSON, LEAH LOIS (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:LOIS
Last Name:THRONSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LEAH
Other - Middle Name:THRONSONB
Other - Last Name:ARRANDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:333 HAGGERTY LN
Mailing Address - Street 2:SUITE 14
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-1779
Mailing Address - Country:US
Mailing Address - Phone:406-586-7277
Mailing Address - Fax:406-586-2326
Practice Address - Street 1:333 HAGGERTY LN
Practice Address - Street 2:SUITE 14
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-1779
Practice Address - Country:US
Practice Address - Phone:406-586-7277
Practice Address - Fax:406-586-2326
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT98572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C98165Medicare UPIN