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Organization

SANDRA LENI, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA LENI MD (PHYSICIAN)
(240) 428-0528
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
314000000X
Skilled Nursing Facility
D0071495
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
550010900
MD
Enumeration date
11/13/2014
Last updated
12/19/2019
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