Basic Information
Provider Information
NPI: 1154737880
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEONARDO
FirstName: APRIL
MiddleName: ALEXANDRIA
NamePrefix:  
NameSuffix:  
Credential: M.D., M.P.H.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 610 W ADAMS ST
Address2:  
City: BLACK RIVER FALLS
State: WI
PostalCode: 546159010
CountryCode: US
TelephoneNumber: 7152844311
FaxNumber: 7152840475
Practice Location
Address1: 1065 BUCKS LAKE RD
Address2:  
City: QUINCY
State: CA
PostalCode: 959719599
CountryCode: US
TelephoneNumber: 5302837161
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2014
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XRS2014-0578NMY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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