Provider Demographics
NPI:1801055074
Name:CARD, LEIA LINDELL (MD)
Entity type:Individual
Prefix:MRS
First Name:LEIA
Middle Name:LINDELL
Last Name:CARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LEIA
Other - Middle Name:LINDELL
Other - Last Name:SAMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 412503
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15 OLD ROLLINSFORD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2868
Practice Address - Country:US
Practice Address - Phone:603-749-4963
Practice Address - Fax:603-742-7094
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15563207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3082870Medicaid
NH002889201Medicare PIN