Leandro, David John

Leandro, David John is an individual health care provider with primary practice located at 4760 Lawrenceville Hwy Nw Suite C-1, Lilburn GA 30047-3858. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Leandro, David John can be contacted via phone (770) 921-4480.

Contact Information

Primary practice address
4760 Lawrenceville Hwy Nw Suite C-1 Lilburn GA 30047-3858
Fax: (678) 205-1738
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 9914 Georgia

Profile Details

NPI number 1053317867
LBN Legal business name Leandro, David John
Credentials C.PED
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053317867 NPPES
Georgia Other L937 KAISER PERMANENTE

Popular Providers