Provider Demographics
NPI:1780644716
Name:LEONARDO, DONNA (DO)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LEONARDO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2110 HARRISBURG PIKE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-299-9232
Mailing Address - Fax:717-299-6532
Practice Address - Street 1:2110 HARRISBURG PIKE
Practice Address - Street 2:SUITE 215
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-299-9232
Practice Address - Fax:717-299-6532
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA05007157L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1494783Medicaid
F41474Medicare UPIN
PA1494783Medicaid