Mastrodomenico, Leonard Vincent
Mastrodomenico, Leonard Vincent is an individual health care provider with primary practice located at 1800 Buckner St , Shreveport LA 71101-4447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mastrodomenico, Leonard Vincent can be contacted via phone (318) 222-1149.Contact Information
Primary practice address
1800 Buckner St
Shreveport LA 71101-4447
Phone: (318) 222-1149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 06900R | Louisiana |
Profile Details
| NPI number | 1255391678 |
|---|---|
| LBN Legal business name | Mastrodomenico, Leonard Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Nov 1st, 2007 - about 19 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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