Individual provider · Type 1 NPI

Leah Wormack, MD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1083243117 Active

Practice location

1001 Potrero Ave # 6D
San Francisco, CA 94110-3518

Mailing address

21 Kelso Dr
Lavale, MD 21502-7127

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083243117

Leah Wormack, MD's National Provider Identifier is 1083243117, issued on Apr 1, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 12, 2020.