Individual
DR. LEONARD MICHAEL COPERTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 TANNER WAY STE 220, HARRIMAN, TN 37748-8332
(865) 882-2442
(865) 374-2123
Mailing address
1855 TANNER WAY STE 220, HARRIMAN, TN 37748-8332
(865) 882-2442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72147
TN
208600000X
Surgery Physician
MD24085
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04547839
—
NY
05
—
Q096515
—
TN
Enumeration date
06/20/2010
Last updated
10/03/2024
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