Leonard, Mary Lisa

Leonard, Mary Lisa is an individual health care provider with primary practice located at 985 Robert Blvd Suite 101, Slidell LA 70458-2063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Leonard, Mary Lisa can be contacted via phone (985) 690-8300.

Contact Information

Primary practice address
985 Robert Blvd Suite 101 Slidell LA 70458-2063
Phone: (985) 690-8300
Fax: (985) 847-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 09276R Louisiana

Profile Details

NPI number 1952419830
LBN Legal business name Leonard, Mary Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 30th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952419830 NPPES
Louisiana MEDICAID 1963046

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