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NPI Code Detail

MEDICARE: LEAH ANNE WOODSON

MEDICARE: LEAH ANNE WOODSON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1720815632
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH ANNE WOODSON
Provider Business Mailing Address
First Line : 5310 WARRENSVILLE CENTER RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5310 WARRENSVILLE CENTER RD
Second Line :
City : MAPLE HEIGHTS
State : OH
Zip : 44137-1915
Country : US
Telephone Number : 216-952-2274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2024
Last Update Date : 09/16/2024

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Directions to “ LEAH ANNE WOODSON ” Practice Location

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