Individual
LEONARDO MORANTES GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607
(919) 784-7093
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2014-02186
NC
2084N0400X
Neurology Physician
Primary
38694
SC
Other
Enumeration date
05/19/2010
Last updated
10/28/2020
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