Provider Demographics
NPI:1154746980
Name:LEON, MARIA (LAC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LEON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 TOWNE HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05651-4408
Mailing Address - Country:US
Mailing Address - Phone:617-930-3438
Mailing Address - Fax:
Practice Address - Street 1:1685 TOWNE HILL RD
Practice Address - Street 2:
Practice Address - City:EAST MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05651-4408
Practice Address - Country:US
Practice Address - Phone:617-930-3438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist