Provider Demographics
NPI:1932788973
Name:HOFFMAN, LEIGH ANN
Entity Type:Individual
Prefix:MRS
First Name:LEIGH ANN
Middle Name:
Last Name:HOFFMAN
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 1:18834 PENINSULA COVE LN
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7755
Mailing Address - Country:US
Mailing Address - Phone:704-502-6996
Mailing Address - Fax:
Practice Address - Street 1:18834 PENINSULA COVE LN
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-7755
Practice Address - Country:US
Practice Address - Phone:704-502-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date: