Provider Demographics
NPI:1275749608
Name:LEONARD, ANGELA S (IBCLC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:LEONARD
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 PYNCHON HALL RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7277
Mailing Address - Country:US
Mailing Address - Phone:610-399-3535
Mailing Address - Fax:
Practice Address - Street 1:1143 PYNCHON HALL RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7277
Practice Address - Country:US
Practice Address - Phone:610-399-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist