Provider Demographics
NPI:1447456264
Name:CONBOY, LEAH JANE (DO)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:JANE
Last Name:CONBOY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:LEAH
Other - Middle Name:JANE
Other - Last Name:DAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-0655
Mailing Address - Country:US
Mailing Address - Phone:989-356-4049
Mailing Address - Fax:
Practice Address - Street 1:346 LONG RAPIDS PLZ
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1374
Practice Address - Country:US
Practice Address - Phone:989-358-3500
Practice Address - Fax:989-358-3712
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017389208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics