Provider Demographics
NPI:1609945997
Name:BUENASEDA, LEAMOR DE LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAMOR
Middle Name:DE LEON
Last Name:BUENASEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:333 W SUMMERCHASE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2970
Mailing Address - Country:US
Mailing Address - Phone:910-717-0348
Mailing Address - Fax:910-848-5439
Practice Address - Street 1:4005 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-8058
Practice Address - Country:US
Practice Address - Phone:910-848-5437
Practice Address - Fax:910-848-5439
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200601348208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics