Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101102596 | VA |
N | 111NI0900X | Internist | 0101102596 | VA |
Y | 207RH0002X | Hospice and Palliative Medicine | 0101102596 | VA |
NPI | 1245320894 |
---|---|
Provider Name | Dr. Leanne M. Yanni |
First Address | Midlothian, VA 23112-4280 |
Second Address | Midlothian, VA 23112-4280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 19/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5858089 | (05) | VA |
C06778 | GROUP PTAN (01) | VA |
H40638 | (02) |