Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samantha Luci Leonard-Ndomb, MD

Individual provider Surgery Physician · NPI 1689016354

Dr. Samantha Luci Leonard-Ndomb, MD is a General Surgery in Moose Lake, Minnesota. Qualified in 2013, 13 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
13
Licensed in
MI, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4572 County Road 61
Moose Lake, MN 55767-9401
Phone: (218) 485-2015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 Linn St, Allegan, MI 49010-1524 — (269) 686-4907

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301105657 (MI)
Surgery Physician Taxonomy 208600000X · Licence 61823 (MN)

Record details

NPI number1689016354
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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