Provider Demographics
NPI:1699719195
Name:MAZZA, LEONARD A (DC)
Entity type:Individual
Prefix:
First Name:LEONARD
Middle Name:A
Last Name:MAZZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 LEHMAN DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5123
Mailing Address - Country:US
Mailing Address - Phone:717-741-3591
Mailing Address - Fax:
Practice Address - Street 1:112 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5123
Practice Address - Country:US
Practice Address - Phone:717-334-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003389L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor