Healthcare Provider Details

I. General information

NPI: 1386865210
Provider Name (Legal Business Name): LEONARD LEFKOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 K ST NW SUITE 501
WASHINGTON DC
20037-1810
US

IV. Provider business mailing address

6313 CAMEO CT
ROCKVILLE MD
20852-3548
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-6827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD2906
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0005621
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: