Individual
MRS. LISA ANNA LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
(703) 391-3414
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180972
VA
363LF0000X
Family Nurse Practitioner
APN-TP 18720
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2706
—
SC
Enumeration date
03/03/2014
Last updated
10/07/2022
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