Provider Demographics
NPI:1376160366
Name:XIONG, LENG (DPM)
Entity Type:Individual
Prefix:
First Name:LENG
Middle Name:
Last Name:XIONG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2835 N GRANDVIEW BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-5591
Mailing Address - Country:US
Mailing Address - Phone:262-542-3779
Mailing Address - Fax:262-542-3355
Practice Address - Street 1:2835 N GRANDVIEW BLVD STE 300
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-5591
Practice Address - Country:US
Practice Address - Phone:262-542-3779
Practice Address - Fax:262-542-3355
Is Sole Proprietor?:No
Enumeration Date:2020-06-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC007123213ES0103X
WI1318-25213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery