Lenard Joseph Edralin, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

2009-01318 Issued in NC

Practice address

2304 Delaney Rd
Knox Clinic Pediatrics, PLLC
Wilmington, NC 28403-6013

Phone

(910) 763-3378

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ledralin1245515@direct.novanthealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Knox Clinic Pediatrics

  • Specialist
  • Wilmington, NC
  • NPI 1063500908
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1013116599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S MOORINGS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284055344",
            "telephone_number": "910-352-4702",
            "fax_number": "910-251-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 DELANEY RD",
            "address_2": "KNOX CLINIC PEDIATRICS, PLLC",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036013",
            "telephone_number": "910-763-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDRALIN",
        "first_name": "LENARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "2009-01318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Edgerton, CRNA
• Stephen E Edgerton, DDS
• Corrine Edick
• Jared Daniel Edmonds, PMHNP
• Nneoma Blessing Edokobi
• Education and Energy Coaching With Horses and Others
• Edward L. Paul, Jr., O.D., PH.D., P.a.
• Candace Edwards Lafon
• Caroline Elizabeth Edwards, LCSW
• George Kevin Edwards, MA LPA

• Legal Medicine in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Legal Medicine in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.