| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRACE R LEU | 1568041077 | 2021-04-03 |
Grace R Leu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568041077. Registration indicates Grace R Leu is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Grace R Leu |
| Practice Office Address | 145 HARRISON AVE BOSTON, MA US |
| Practice Office Telephone | 6176367000 |
| Mailing Address | 145 HARRISON AVE BOSTON, MA 021111802 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |