Provider Demographics
NPI:1538514914
Name:SREMBA, LEIGHANN (MS, CGC)
Entity Type:Individual
Prefix:
First Name:LEIGHANN
Middle Name:
Last Name:SREMBA
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13121 E. 17TH AVE.
Mailing Address - Street 2:L-28-4TH FL MAIL STOP 8400
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045
Mailing Address - Country:US
Mailing Address - Phone:303-724-2344
Mailing Address - Fax:720-777-7322
Practice Address - Street 1:13121 E 17TH AVE
Practice Address - Street 2:L-28-4TH FL MAIL STOP 8400
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2535
Practice Address - Country:US
Practice Address - Phone:303-724-2344
Practice Address - Fax:720-777-7322
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS