Provider Demographics
NPI:1639635022
Name:LEIGH ANN HOWELL LLC
Entity Type:Organization
Organization Name:LEIGH ANN HOWELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:928-210-1156
Mailing Address - Street 1:12232 S LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85367-4807
Mailing Address - Country:US
Mailing Address - Phone:928-210-1156
Mailing Address - Fax:928-304-7170
Practice Address - Street 1:11242 S FOOTHILLS BLVD STE 18
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85367-7712
Practice Address - Country:US
Practice Address - Phone:928-210-1156
Practice Address - Fax:928-304-7170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care