Organization
LEONARD SURGICAL CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN JOHNSON LEONARD M.D. (PRESIDENT)
(301) 694-5154
Entity
Organization
Contact information
Practice address
501 W SEVENTH ST, SUITE D, FREDERICK, MD 21701-4507
(301) 694-5154
(301) 694-5205
Mailing address
501 W SEVENTH ST, SUITE D, FREDERICK, MD 21701-4507
(301) 694-5154
(301) 694-5205
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D63740
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153974
ONE NET, PPO
MD
01
—
2153974
OPTIMUM CHOICE
—
01
—
5680032
FIRST HEALTH
MD
01
—
649360-01
CAREFIRST OF MD
MD
01
—
N109-0001
CAREFIRST NCA
MD
Enumeration date
01/09/2006
Last updated
10/29/2007
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