Provider Demographics
NPI:1619225521
Name:BAYONNE, LEAH WRIGHT (DPM)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:WRIGHT
Last Name:BAYONNE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:BEATRICE
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:2520 HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1172
Mailing Address - Country:US
Mailing Address - Phone:504-454-3004
Mailing Address - Fax:504-454-3075
Practice Address - Street 1:1855 AMES BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3429
Practice Address - Country:US
Practice Address - Phone:504-762-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT18-2011213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery