Provider Demographics
NPI:1497046585
Name:SCHLEGEL, LEONARD DONALD
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:DONALD
Last Name:SCHLEGEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1675
Mailing Address - Country:US
Mailing Address - Phone:610-678-2909
Mailing Address - Fax:610-678-0258
Practice Address - Street 1:2320 PENN AVE
Practice Address - Street 2:
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1675
Practice Address - Country:US
Practice Address - Phone:610-678-2909
Practice Address - Fax:610-678-0258
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP022497L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist