Provider Demographics
NPI:1497585699
Name:DANOWSKI, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:DANOWSKI
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 1:115 S JEROME PKWY
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-7337
Mailing Address - Country:US
Mailing Address - Phone:410-703-4918
Mailing Address - Fax:
Practice Address - Street 1:115 S JEROME PKWY
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-7337
Practice Address - Country:US
Practice Address - Phone:410-703-4918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator