Provider Demographics
NPI:1730229113
Name:PRICE, LEIGH ANN (MD)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:SMYTH 302A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2945
Mailing Address - Country:US
Mailing Address - Phone:443-444-2876
Mailing Address - Fax:443-444-1487
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:SMYTH 302A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2945
Practice Address - Country:US
Practice Address - Phone:443-444-2876
Practice Address - Fax:443-444-1487
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2014-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD70016208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD028598600Medicaid
MD028598600Medicaid