Provider Demographics
NPI:1437664323
Name:LONARDO, MICHAEL A (TND)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:LONARDO
Suffix:
Gender:M
Credentials:TND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 WINDY HILL DR STE A
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5278
Mailing Address - Country:US
Mailing Address - Phone:919-986-9940
Mailing Address - Fax:
Practice Address - Street 1:4940 WINDY HILL DR STE A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5278
Practice Address - Country:US
Practice Address - Phone:919-986-9940
Practice Address - Fax:919-977-0762
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath