Basic Information
| Provider Information | |||||||||
| NPI: | 1063702561 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOYLE | ||||||||
| FirstName: | LEONA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 FREEMAN ST | ||||||||
| Address2: | APT 1 | ||||||||
| City: | BROOKLINE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024463587 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174704413 | ||||||||
| FaxNumber: | 6175663897 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 FRANCIS ST | ||||||||
| Address2: | DEPARTMENT OF PATHOLOGY AMORY 3 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021156110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6174704413 | ||||||||
| FaxNumber: | 6175663897 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2011 | ||||||||
| LastUpdateDate: | 01/09/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 235765 | MA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207ZP0101X | 248309 | MA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.