Provider Demographics
NPI:1689496507
Name:DIGHERA, LEIGH ANN (PHARMD)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:DIGHERA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MAYFAIR ST
Mailing Address - Street 2:
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-5483
Mailing Address - Country:US
Mailing Address - Phone:906-396-6865
Mailing Address - Fax:
Practice Address - Street 1:1920 S STEPHENSON AVE
Practice Address - Street 2:
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-3641
Practice Address - Country:US
Practice Address - Phone:906-779-7185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist