Provider Demographics
NPI:1821525338
Name:UNG, LEAKNA (DPM)
Entity Type:Individual
Prefix:
First Name:LEAKNA
Middle Name:
Last Name:UNG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 LINDBERG RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-2716
Mailing Address - Country:US
Mailing Address - Phone:888-499-5249
Mailing Address - Fax:877-206-0146
Practice Address - Street 1:2024 LINDBERG RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-2716
Practice Address - Country:US
Practice Address - Phone:888-499-5249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-15
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006833213ES0103X
IN07001412A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery