Lisa Marie Leonard, N.D.
Individual provider Active NPI Naturopath · Burr Ridge, IL
NPI 1609113117 · NPPES record last updated Jan 4, 2013
Key facts
- NPI
- 1609113117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- ND-515 (CA)
- Practice address
- 10S 082 Lakewood Dr
Burr Ridge, IL 60527 - Phone
- (630) 841-6946
- NPI assigned
- Jan 4, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND-515 | CA | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-515 | CA | Yes |
Addresses
Primary practice location
10S 082 Lakewood Dr
Burr Ridge, IL 60527
Mailing address
10S 082 Lakewood Dr
Burr Ridge, IL 60527
Phone (630) 841-6946
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2013. 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.