# SANDRA LENI, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043616360
- **Authorized official:** DR. SANDRA LENI MD (PHYSICIAN)
- **Authorized official phone:** (240) 428-0528

## Contact information

- **Practice address:** 645 BALTIMORE ANNAPOLIS BOULEVARD, SUITE 213, SEVERNA PARK, MD 21146
- **Practice address phone:** (240) 428-0528
- **Mailing address:** 645 BALTIMORE ANNAPOLIS BOULEVARD, SUITE 213, SEVERNA PARK, MD 21146
- **Mailing address phone:** (240) 428-0528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 314000000X | Skilled Nursing Facility | D0071495 | MD | — |

## Other

- **Enumeration date:** 11/13/2014
- **Last updated:** 12/19/2019