Provider Demographics
NPI:1881285948
Name:KROHN, LEAH ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:ELIZABETH
Last Name:KROHN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 GIRARD ST NW UNIT 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-6364
Mailing Address - Country:US
Mailing Address - Phone:860-933-9103
Mailing Address - Fax:
Practice Address - Street 1:8101 HINSON FARM RD STE 107
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-3400
Practice Address - Country:US
Practice Address - Phone:703-224-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110007669363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant