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NPI Code Detail

MEDICARE: LESLEY ANN ERNST OTRL

MEDICARE: LESLEY ANN ERNST OTRL
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
1171W00000XContractorOT 5654OH

General Provider Information

NPI Number : 1376759407
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY ANN ERNST OTRL
Provider Business Mailing Address
First Line : 963 COGSWELL ST
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-1233
Country : US
Telephone Number : 161-444-0291
Fax Number :
Provider Business Practice Location Address
First Line : 2845 MORALITY DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-8829
Country : US
Telephone Number : 614-440-2918
Fax Number : 614-440-2918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 12/01/2025

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Directions to “ LESLEY ANN ERNST OTRL” Practice Location

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