Individual provider · Type 1 NPI
Nicholas Raymond Leonardi, DO
Plastic and Reconstructive Surgery Physician · Germantown, TN
NPI number
1104072651
Active
Practice location
7945 Wolf River Blvd
Germantown, TN 38138-1762
Mailing address
7714 Poplar Ave Ste 200
Germantown, TN 38138-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 2861 (TN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1104072651
Nicholas Raymond Leonardi, DO's National Provider Identifier is 1104072651, issued on Aug 15, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Germantown, TN. The record was last updated on Sep 14, 2022.