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Leo Sumatra
NPI 1497017578 · on the registry since 2012 · sole proprietor
Practice
- Address
- 13135 Lebanon Rd
Mount Juliet, TN 37122 - Phone
- (615) 554-9224
Registry record
- Primary taxonomy
- 2251G0304X
2251G0304X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee