Provider Demographics
NPI:1437192101
Name:VENIER, LEON H (MD)
Entity Type:Individual
Prefix:MR
First Name:LEON
Middle Name:H
Last Name:VENIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 QUARRY DRIVE
Mailing Address - Street 2:SUITE B 24
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609
Mailing Address - Country:US
Mailing Address - Phone:610-927-9366
Mailing Address - Fax:610-927-9368
Practice Address - Street 1:2209 QUARRY DRIVE
Practice Address - Street 2:SUITE B 24
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609
Practice Address - Country:US
Practice Address - Phone:610-927-9366
Practice Address - Fax:610-927-9368
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011237E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
53455OtherAETNA INSURANCE
01151001OtherCAPITAL BLUE CROSS
0989087000OtherINDEPENDENCE BLUE CROSS
0020380000OtherKEYSTONE EAST
01151001OtherKEYSTONE HEALTH PLAN CENT
1451088001OtherCIGNA
032503OtherHIGHMARK BLUE SHIELD
0989087000OtherINDEPENDENCE BLUE CROSS
032503OtherHIGHMARK BLUE SHIELD