Individual
LEONA EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
850 TUCK ST, LEBANON, PA 17042-7477
(717) 273-5803
(717) 272-8422
Mailing address
PO BOX 300, LEBANON, PA 17042-0300
(717) 270-7780
(717) 274-9746
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS003439L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006286030002
—
PA
01
—
143362
HIGHMARK
PA
Enumeration date
07/21/2006
Last updated
11/06/2014
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