Healthcare Provider Details

I. General information

NPI: 1902148513
Provider Name (Legal Business Name): MS. DANA LYNN LECKRONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA LYNN KAPIOTIS

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 EDALBERT DRIVE
CINCINNATI OH
45239
US

IV. Provider business mailing address

9366 STATE ROUTE 28
CINCINNATI OH
45159
US

V. Phone/Fax

Practice location:
  • Phone: 855-577-7284
  • Fax: 513-741-5686
Mailing address:
  • Phone: 513-253-8814
  • Fax: 513-741-5686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: