Deanne Leonard, OD
Optometrist in Baltimore, MD. Individual provider (NPI-1).
NPI number1003902016
StatusActive
Last updated in NPPESJan 18, 2013
Details
- NPI
- 1003902016
- Entity type
- Individual (NPI-1)
- Name
- Deanne Leonard
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2006
- Last updated
- Jan 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TA1862 | MD | Yes |
Practice location
3506 Ellamont RdBaltimore, MD 21215
Phone 443-802-9920
Mailing address
3506 Ellamont RdBaltimore, MD 21215
Phone 443-802-9920
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