MEDICARE: DOUGLAS E LEAMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD430975	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295866119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS E LEAMAN M.D.

Provider Business Mailing Address
First Line	:	304 N WATER ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3374
Country	:	US
Telephone Number	:	717-735-6808
Fax Number	:	717-945-1587

Provider Business Practice Location Address
First Line	:	515-B HERSHEY AVE.
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603
Country	:	US
Telephone Number	:	717-299-6372
Fax Number	:	717-397-8881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2007
Last Update Date	:	04/08/2026

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