Individual
DR. DWAIN ALAN LEONHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 S 70TH ST, SUITE 130, LINCOLN, NE 68516-4282
(402) 484-4940
Mailing address
6530 S 66TH ST, LINCOLN, NE 68516-3691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19915
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30567
BCBS
NE
05
—
47082189713
—
NE
Enumeration date
07/29/2005
Last updated
02/23/2010
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