Organization
DEANNE LEONARD OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE LEONARD (OPTOMETRIST)
(443) 802-9920
Entity
Organization
Contact information
Practice address
3506 ELLAMONT RD, BALTIMORE, MD 21215
(443) 802-9920
(443) 926-9920
Mailing address
3506 ELLAMONT RD, BALTIMORE, MD 21215
(443) 802-9920
(443) 926-9920
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA-1862
MD
Other
Enumeration date
04/23/2007
Last updated
08/10/2009
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