Individual provider · Type 1 NPI

Leanna Rae Rucker, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1235768953 Active

Practice location

111 S 11th St
Philadelphia, PA 19107-4870

Call (215) 955-6000 Map

Mailing address

1080 Crestbrook Dr
Riverside, CA 92506-5664

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 1235768953

Leanna Rae Rucker, MD's National Provider Identifier is 1235768953, issued on Apr 4, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 26, 2024.