Provider Demographics
NPI:1760414650
Name:WHITE, LEIGH ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANNE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:804 SERVICE RD STE A109B
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-353-4911
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:E CIRCLE DR
Practice Address - Street 2:OLIN HEALTH CENTER
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824
Practice Address - Country:US
Practice Address - Phone:517-355-4510
Practice Address - Fax:517-432-9528
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2021-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010749122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4196088Medicaid
MI1760414650Medicaid
MI4196088Medicaid
MI1760414650Medicaid