Provider Demographics
NPI:1760596233
Name:MORGAN, LEONIE V (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LEONIE
Middle Name:V
Last Name:MORGAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:918 ROLLING ACRES RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-5027
Mailing Address - Country:US
Mailing Address - Phone:352-259-1991
Mailing Address - Fax:352-259-5540
Practice Address - Street 1:918 ROLLING ACRES RD
Practice Address - Street 2:SUITE 1
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-5027
Practice Address - Country:US
Practice Address - Phone:352-259-1991
Practice Address - Fax:352-259-5540
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9210944363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARNP9210944OtherLICENSE NUMBER
FLU8852YMedicare PIN
ARNP9210944OtherLICENSE NUMBER