Individual
LEXINE R. LEONHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1235 E CHEROKEE ST, 2D, SPRINGFIELD, MO 65804-2203
(417) 820-2364
(417) 820-7136
Mailing address
620 S GLENSTONE AVE, SPRINGFIELD, MO 65802-3206
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2008028051
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639318942
—
MO
05
—
177970758
—
AR
01
—
431560263
TRICARE WEST
—
01
—
P00700781
RAILROAD MEDICARE
—
Enumeration date
02/10/2009
Last updated
11/04/2015
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