Individual
LEONA R. LENAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
790 CHURCH ST NE STE 335, MARIETTA, GA 30060-8957
(770) 590-8311
(770) 590-8313
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 590-8311
(770) 590-8313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11010191
FL
363L00000X
Nurse Practitioner
Primary
RN193714
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109754200
—
FL
01
—
202I503405
MEDICARE PTAN
GA
05
—
349156122A
—
GA
05
—
349156122C
—
GA
05
—
349156122R
—
GA
05
—
349156122V
—
GA
Enumeration date
02/01/2007
Last updated
06/14/2021
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