Most Relevant Information
Provider Data
  | NPI Number: | 1003550146 | 
| Provider Name: | MARSHA LEEK LPN | 
| Entity Type: | Individual | 
| Taxonomy Code: | 164W00000X | 
| Specialty: | Licensed Practical Nurse | 
| License Number: | 4703120370 | 
Most Important Dates
  | Enumeration Date: | 04/25/2022 | 
| Last Updated: | 04/25/2022 | 
Provider Practice Location
  812 E JOLLY RD
      
      LANSING
      MI
      489106818
  Practice Location Phone/Fax
      | Phone: | 5173468200 | 
| Fax: | 
Provider Mailing Location
  812 E JOLLY RD
      
      LANSING
      MI
      489106818
  Provider Mailing Phone/Fax
      | Phone: | |
| Fax: |