Individual
MR. LEONARD VINCENT COVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 RIDGE RD, SUITE E, MUNSTER, IN 46321
(219) 836-8100
(219) 836-9656
Mailing address
900 RIDGE RD, SUITE E, MUNSTER, IN 46321
(219) 836-8100
(219) 836-9656
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
01046483
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200151360A
—
IN
Enumeration date
03/22/2006
Last updated
07/08/2007
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