Individual
MR. DAVID JOHN LEANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
4760 LAWRENCEVILLE HWY NW, SUITE C-1, LILBURN, GA 30047-3858
(770) 921-4480
(678) 205-1738
Mailing address
4814 DELGADO DR SW, LILBURN, GA 30047-5204
(770) 931-0823
(678) 205-1738
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9914
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L937
KAISER PERMANENTE
GA
Enumeration date
06/27/2005
Last updated
07/08/2007
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