Lance Leopold, MD
Individual provider Active NPI Hematology & Oncology Physician · Dresher, PA
NPI 1386632461 · NPPES record last updated Mar 8, 2010
Key facts
- NPI
- 1386632461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- MD044489E (PA)
- Practice address
- 1441 Catlin Way
Dresher, PA 19025-1035 - Phone
- (610) 203-9328
- Fax
- (866) 305-6063
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD044489E | PA | MD | Hematology & Oncology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD044489E | PA | Yes |
Addresses
Primary practice location
1441 Catlin Way
Dresher, PA 19025-1035
Mailing address
1441 Catlin Way
Dresher, PA 19025-1035
Phone (610) 203-9328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014168200001 | Medicaid | PA |
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All providers in Dresher, PA · Hematology & Oncology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.