Provider Demographics
NPI:1235730078
Name:DUNIA, LEETISHA LAWANA (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LEETISHA
Middle Name:LAWANA
Last Name:DUNIA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 WOOD POINT DR
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-5971
Mailing Address - Country:US
Mailing Address - Phone:910-893-9234
Mailing Address - Fax:
Practice Address - Street 1:538 WOOD POINT DR
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-5971
Practice Address - Country:US
Practice Address - Phone:910-893-9234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020038660363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health