Individual
MRS. LISA MARIE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
465 KEARNY AVE, KEARNY, NJ 07032-2702
(201) 428-2376
Mailing address
162 WESSINGTON AVE, GARFIELD, NJ 07026-2723
(201) 951-0646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07233800
NJ
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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