Healthcare Provider Details

I. General information

NPI: 1861141475
Provider Name (Legal Business Name): LEXY COCHRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 DIXMYTH AVE
CINCINNATI OH
45220-2475
US

IV. Provider business mailing address

2211 SEASONS NORTH DR UNIT 105
CARMEL IN
46280-1679
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-2563
  • Fax: 513-751-8638
Mailing address:
  • Phone: 316-305-0855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: