Leegwater-Kim, Julie Rebecca

Leegwater-Kim, Julie Rebecca is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic - Dept Of Neurology, Burlington MA 01805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Leegwater-Kim, Julie Rebecca can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic - Dept Of Neurology Burlington MA 01805
Phone: (781) 744-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 232575 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 228643 Massachusetts

Profile Details

NPI number 1093761587
LBN Legal business name Leegwater-Kim, Julie Rebecca
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Feb 16th, 2011 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093761587 NPPES
Massachusetts MEDICAID 110073609A

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