Provider Demographics
NPI:1710077425
Name:LEAPER, SAMANTHA ROBIN (HS, USCG)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:ROBIN
Last Name:LEAPER
Suffix:
Gender:F
Credentials:HS, USCG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 TRADD ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-1800
Mailing Address - Country:US
Mailing Address - Phone:843-724-7653
Mailing Address - Fax:843-724-7655
Practice Address - Street 1:C O M D T /C G 1122/ U S COAST GUARD
Practice Address - Street 2:2100 2ND ST SW, SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:202-267-0801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other