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

Code values:
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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