MEDICARE: RICARDO R LEONI 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	207T00000X	Neurological Surgery Physician	03273R	LA

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	:	1750336111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICARDO R LEONI M.D.

Provider Business Mailing Address
First Line	:	203 RUE LOUIS XIV
Second Line	:	SUITE B
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-5736
Country	:	US
Telephone Number	:	337-981-8294
Fax Number	:	337-984-6583

Provider Business Practice Location Address
First Line	:	203 RUE LOUIS XIV
Second Line	:	SUITE B
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-5736
Country	:	US
Telephone Number	:	337-981-8294
Fax Number	:	337-984-6583

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	07/08/2007

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Directions to “ RICARDO R LEONI M.D.” Practice Location

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