LEANDRA M TONWEBER PA-C
Allergy and Immunology
Charlotte, North Carolina
Provider NPI: 1538199641
Provider Information:LEANDRA M TONWEBER PA-C
Practice Location:
8810 BLAKENEY PROFESSIONAL DR CHARLOTTE, NC 28277 US
Tel: 704-910-1402 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 207K00000X | Physicians Allergy & Immunology | NC | 103600 |
Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | NC | 103600 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0460PA | SC | 05 | |
8102021 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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