Healthcare Provider Details

I. General information

NPI: 1497877187
Provider Name (Legal Business Name): MARILYN KAY LESSING APRN,BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

796 CINCINNATI BATAVIA PIKE
CINCINNATI OH
45245-1279
US

IV. Provider business mailing address

796 CINCINNATI BATAVIA PIKE
CINCINNATI OH
45245-1279
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-9610
  • Fax: 513-732-8734
Mailing address:
  • Phone: 513-752-9610
  • Fax: 513-732-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-08768
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: