Johnne Leoncio, NP-C
Nurse Practitioner, Family in Lake Forest, CA. Individual provider (NPI-1).
NPI number1578060786
StatusActive
Last updated in NPPESFeb 15, 2022
Details
- NPI
- 1578060786
- Entity type
- Individual (NPI-1)
- Name
- Johnne Leoncio
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2018
- Certification date
- Feb 15, 2022
- Last updated
- Feb 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95008847 | CA | Yes |
Practice location
24432 Muirlands Blvd Ste 101Lake Forest, CA 92630-3939
Phone 949-951-9399 · Fax 949-951-9403
Mailing address
24432 Muirlands Blvd Ste 101Lake Forest, CA 92630-3939
Phone 949-951-9399
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