| Doctor Name: | LEANORE MARIE CIPOLLONE |
| NPI Number: | 1538492129 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 26NN08694800 |
| Business Practice Address: | 155 N Main St Mullica Hill, NJ - 080622612 |
| Business Phone Number: | 8564784780 |
| Business Fax Number: | |
| Mailing Address: | 120 White Horse Pike, Ste 112 HADDON HEIGHTS |
| State: | NJ |
| Postal Code: | 080351938 |
| Phone Number: | 8565470539 |
| Fax Number: | 8565473178 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 05/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN08694800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |