Provider Demographics
NPI:1003177239
Name:LEONARD, CAROL LYNN (NHCM)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:LEONARD
Suffix:
Gender:F
Credentials:NHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4817
Mailing Address - Country:US
Mailing Address - Phone:603-225-2739
Mailing Address - Fax:603-228-6255
Practice Address - Street 1:38 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4817
Practice Address - Country:US
Practice Address - Phone:603-225-2739
Practice Address - Fax:603-228-6255
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1013176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife