Provider Demographics
NPI:1649496688
Name:LEUNG, EDNA JINN (MD)
Entity type:Individual
Prefix:DR
First Name:EDNA
Middle Name:JINN
Last Name:LEUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EDNA
Other - Middle Name:JINN
Other - Last Name:MILBANK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8485 ROARING FORK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-8105
Mailing Address - Country:US
Mailing Address - Phone:719-282-9393
Mailing Address - Fax:
Practice Address - Street 1:8485 ROARING FORK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-8105
Practice Address - Country:US
Practice Address - Phone:719-282-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0041226208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics