Individual
ERIC LAWARENCE LEONARD
Active
Individual
ERIC LAWARENCE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20895
WV
2085R0202X
Diagnostic Radiology Physician
35.081064
OH
2085R0202X
Diagnostic Radiology Physician
37258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196556
UNISON
OH
01
—
001718782
MTN STATE BC BS
—
05
—
1000922000
—
WV
05
—
2322598
—
OH
01
—
300130252
RR MEDICARE (WV)
WV
01
—
50007266
PASSPORT
KY
01
—
55049337600
WORKMANS COMP
WV
05
—
6405101400
—
KY
01
—
7393619
AETNA
—
01
—
P00766037
RR MEDICARE (KY)
KY
Enumeration date
12/23/2005
Last updated
05/23/2024
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