Individual
DR. NICHOLAS RAYMOND LEONARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(190) 168-3005
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2861
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02738884
—
MS
05
—
Q020806
—
TN
Enumeration date
08/15/2008
Last updated
09/14/2022
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