Provider Demographics
NPI:1538626445
Name:HUGHES, LEAH JO
Entity type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:JO
Last Name:HUGHES
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 1:1405 OAK HILL PL
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-4804
Mailing Address - Country:US
Mailing Address - Phone:936-707-1921
Mailing Address - Fax:
Practice Address - Street 1:1405 OAK HILL PL
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-4804
Practice Address - Country:US
Practice Address - Phone:936-707-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies