Healthcare Provider Details

I. General information

NPI: 1669336343
Provider Name (Legal Business Name): ALEC LEONARD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8064 CEDAR ROW BLVD
WESTERVILLE OH
43081-5548
US

IV. Provider business mailing address

8064 CEDAR ROW BLVD
WESTERVILLE OH
43081-5548
US

V. Phone/Fax

Practice location:
  • Phone: 614-353-8293
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: