Individual
DR. LORA LEE LEONARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
102-01 66TH RD, FOREST HILLS, NY 11375
(718) 830-4000
Mailing address
3778 FAIR RIDGE RD, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
390200000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03532198
—
NY
Enumeration date
07/28/2011
Last updated
03/24/2015
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