| NPI | 1356939656 |
|---|---|
| Doing Business As | LEO CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARLOS MARRERO Director 860-249-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-05-18 |