Provider Demographics
NPI:1184439648
Name:LAGARRY, LEIGH ANNE
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNE
Last Name:LAGARRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 CHAPIN ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2726
Mailing Address - Country:US
Mailing Address - Phone:308-430-2511
Mailing Address - Fax:
Practice Address - Street 1:5789 WEST HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-7349
Practice Address - Country:US
Practice Address - Phone:308-432-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker