Provider Demographics
NPI:1063490167
Name:LEONARD, DAWN JOHNSON (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:JOHNSON
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:NICOLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11006 VEIRS MILL RD STE L1
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2587
Mailing Address - Country:US
Mailing Address - Phone:301-681-4422
Mailing Address - Fax:301-557-1361
Practice Address - Street 1:HOLY CROSS HEALTH CANCER CENTER
Practice Address - Street 2:11006 VEIRS MILL RD - SUITE L1
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-681-4422
Practice Address - Fax:301-557-1361
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30734208600000X
DEC1-0023818208600000X
MDD0063740208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery