Provider Demographics
NPI:1669577581
Name:LEONE, LANA JANE (OD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:JANE
Last Name:LEONE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LANA
Other - Middle Name:JANE
Other - Last Name:HECKMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:206 EAGLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MOHRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19541-8996
Mailing Address - Country:US
Mailing Address - Phone:610-374-9625
Mailing Address - Fax:610-374-9817
Practice Address - Street 1:2769 PAPERMILL RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19610-3329
Practice Address - Country:US
Practice Address - Phone:610-374-9625
Practice Address - Fax:610-374-9817
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-001022152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist