Provider Demographics
NPI:1679217293
Name:ALEXANDER, LEONDRIA LORRAINE
Entity Type:Individual
Prefix:
First Name:LEONDRIA
Middle Name:LORRAINE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 ESTES RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-3511
Mailing Address - Country:US
Mailing Address - Phone:904-887-7060
Mailing Address - Fax:
Practice Address - Street 1:637 ESTES RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-3511
Practice Address - Country:US
Practice Address - Phone:904-887-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care