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NPI Code Detail

MEDICARE: LEEAH MARIE DUNLOP LPN

MEDICARE: LEEAH MARIE DUNLOP LPN
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
1164W00000XLicensed Practical Nurse352233NY

General Provider Information

NPI Number : 1720922511
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEEAH MARIE DUNLOP LPN
Provider Business Mailing Address
First Line : 20 PINE HARBOR WALK
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2209
Country : US
Telephone Number : 716-819-6265
Fax Number :
Provider Business Practice Location Address
First Line : 20 PINE HARBOR WALK
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2209
Country : US
Telephone Number : 716-819-6265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ LEEAH MARIE DUNLOP LPN” Practice Location

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