Search › Connecticut › 363A00000X
Leah Wallace, PA-C
NPI 1518233931 · on the registry since 2012
Practice
- Address
- 1347 Boston Post Rd
Suite 106
Madison, CT 06443 - Phone
- (203) 779-5207
- Fax
- (203) 779-5792
- Organisation at this address
- Madison Eye Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut