Individual
DR. LEONARD FLORES POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 E ELM ST, GRAHAM, NC 27253-3021
(336) 350-8039
(336) 350-8393
Mailing address
217 E ELM ST, GRAHAM, NC 27253-3021
(336) 350-8039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39064
NC
208D00000X
General Practice Physician
Primary
39064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149574N
MEDICARE
NC
05
—
5900679
—
NC
01
—
68328
BLUE CROSS BLUE SHIELD OF
NC
Enumeration date
02/22/2006
Last updated
02/22/2021
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