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NPI Code Detail

MEDICARE: LEANNE MOSES

MEDICARE:   LEANNE  MOSES
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
1174400000XSpecialistOH3053635OH

General Provider Information

NPI Number : 1386033827
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE MOSES
Provider Business Mailing Address
First Line : 15600 PARKLAND DR
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-2529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14900 DREXMORE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-2478
Country : US
Telephone Number : 216-295-4913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2015
Last Update Date : 01/21/2015

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Directions to “ LEANNE MOSES ” Practice Location

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