Doctor Name: | LEONARD A LADO |
NPI Number: | 1487642997 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME84351 |
Business Practice Address: | 26671 Dublin Woods Cir Suite 1 Bonita Springs, FL - 341357249 |
Business Phone Number: | 2399484325 |
Business Fax Number: | 2393215136 |
Mailing Address: | 26671 Dublin Woods Cir, Suite 1 BONITA SPRINGS |
State: | FL |
Postal Code: | 341357249 |
Phone Number: | 2399484325 |
Fax Number: | 2393215136 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | ME84351 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |