Provider Demographics
NPI:1235364506
Name:LAFORTE, LEENA (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEENA
Middle Name:
Last Name:LAFORTE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 WILLIAMS AVE UNIT 339
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1682
Mailing Address - Country:US
Mailing Address - Phone:914-588-7409
Mailing Address - Fax:
Practice Address - Street 1:822 WILLIAMS AVE UNIT 339
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1682
Practice Address - Country:US
Practice Address - Phone:914-588-7409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI032227001835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist