Mallory, Leah A

Mallory, Leah A is an individual health care provider with primary practice located at 22 Bramhall St Dept. Of Pediatrics, Portland ME 04102-3134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mallory, Leah A can be contacted via phone (207) 662-2541.

Contact Information

Primary practice address
22 Bramhall St Dept. Of Pediatrics Portland ME 04102-3134
Phone: (207) 662-2541
Fax: (207) 662-3172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 226905 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17508 Maine

Profile Details

NPI number 1275551350
LBN Legal business name Mallory, Leah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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