Healthcare Provider Details

I. General information

NPI: 1861884447
Provider Name (Legal Business Name): LEILANI DENNIS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEILANI LEWIS AU.D.

II. Dates (important events)

Enumeration Date: 02/19/2015
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14973 W BELL RD STE 150
SURPRISE AZ
85374-3637
US

IV. Provider business mailing address

6319 W HONEYSUCKLE DR
PHOENIX AZ
85083-1824
US

V. Phone/Fax

Practice location:
  • Phone: 602-863-4203
  • Fax:
Mailing address:
  • Phone: 602-863-4203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA8848
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY1714
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA8848
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: