Individual
DR. SAMANTHA LUCI LEONARD-NDOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-2015
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301105657
MI
208600000X
Surgery Physician
61823
MN
Other
Enumeration date
07/23/2013
Last updated
04/21/2023
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