Leonard, David Lawrence
Leonard, David Lawrence is an sole proprietor health care provider with primary practice located at 3015 Highway 29 S Ste 4176 , Alexandria MN 56308-4540. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Leonard, David Lawrence can be contacted via phone (320) 763-5052.Contact Information
Primary practice address
3015 Highway 29 S Ste 4176
Alexandria MN 56308-4540
Phone: (320) 763-5052
Fax: (320) 763-5053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D9921 | Minnesota |
Profile Details
| NPI number | 1194975714 |
|---|---|
| LBN Legal business name | Leonard, David Lawrence |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2008 |
| Last updated | Sep 19th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194975714 | NPPES |
| Minnesota | MEDICAID | 207320000 |
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