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NPI Code Detail

MEDICARE: NEVADA CHEYENNE LEACH

MEDICARE: NEVADA CHEYENNE LEACH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistAPS.007118OH

General Provider Information

NPI Number : 1659239549
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEVADA CHEYENNE LEACH
Provider Business Mailing Address
First Line : 1856 CEDAR HILL RD
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4178
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1856 CEDAR HILL RD
Second Line :
City : LANCASTER
State : OH
Zip : 43130-4178
Country : US
Telephone Number : 740-796-8835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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1700090206 — MRS. ANNE VERONICA CRUTCHMAN LISW
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Directions to “ NEVADA CHEYENNE LEACH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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