Provider Demographics
NPI:1336352681
Name:LEININGER, ANNA M (MS, CGC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:LEININGER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BATES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-6339
Mailing Address - Country:US
Mailing Address - Phone:651-771-7273
Mailing Address - Fax:
Practice Address - Street 1:6025 LAKE RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1712
Practice Address - Country:US
Practice Address - Phone:651-999-8977
Practice Address - Fax:651-735-1827
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN96138170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS