Leondra Davis, LPN
Licensed Practical Nurse in Medford, NY. Individual provider (NPI-1).
NPI number1174881981
StatusActive
Last updated in NPPESJan 27, 2026
Details
- NPI
- 1174881981
- Entity type
- Individual (NPI-1)
- Name
- Leondra Davis
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2012
- Certification date
- Jan 27, 2026
- Last updated
- Jan 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 272237 | NY | Yes |
Practice location
4 Clifford LnMedford, NY 11763-1610
Phone 631-605-1970
Mailing address
4 Clifford LnMedford, NY 11763-1610
Phone 631-605-1970
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