Leonard Lyakhovich, RNFA
Individual provider Active NPI Registered Nurse First Assistant · Bar Harbor, ME
NPI 1609364397 · NPPES record last updated Apr 27, 2018
Key facts
- NPI
- 1609364397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- RN50897 (ME)
- Practice address
- 10 Wayman LN
Bar Harbor, ME 04609-1625 - Phone
- (207) 288-5082
- Fax
- (207) 288-9626
- NPI assigned
- Apr 27, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN50897 | ME | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN50897 | ME | Yes |
Addresses
Primary practice location
10 Wayman LN
Bar Harbor, ME 04609-1625
Mailing address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone (207) 288-5082
Other providers in Bar Harbor, ME
- Barbara F Logue
- Nicole Lee Look
- Daniel E Lorey
- Janice Done Lowe
- Bonita B Lundquist
- Edith Snyder Lyman
- Dianne Hollis Lytle
- Maureen Magut Charette
- William Guy Mahan
- Christopher S. Maller
All providers in Bar Harbor, ME · Registered Nurse First Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2018. 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.