Provider Demographics
NPI:1831107689
Name:CRUZ, LEONARD LEE (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:LEE
Last Name:CRUZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-333-5240
Mailing Address - Fax:828-333-5423
Practice Address - Street 1:932 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-274-1415
Practice Address - Fax:828-274-9943
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC26438OtherBCBS
NC8926438Medicaid
A17490Medicare UPIN
NC8926438Medicaid