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1912053067

NPI Code Detail

MEDICARE: DR. RANDALL P LEDUC MD

MEDICARE: DR. RANDALL P LEDUC MD

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
1	207R00000X	Internal Medicine Physician	01041214A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0401309	OTHER	IN	UNITED HEALTHCARE OF OHIO
3	646524	OTHER	IN	AETNA
4	5448484002	OTHER	IN	CIGNA
5	N41214	OTHER	IN	HUMANA
6	000000031460	OTHER	IN	ANTHEM
7	0401309	OTHER	IN	UNITED HEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	64011372	OTHER	IN	UNISYS
10	1349998	OTHER	IN	FIRST HEALTH

General Provider Information

NPI Number	:	1912053067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL P LEDUC MD

Provider Business Mailing Address
First Line	:	PO BOX 635283
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-5283
Country	:	US
Telephone Number	:	812-496-8783
Fax Number	:	812-432-3386

Provider Business Practice Location Address
First Line	:	112 LINKS WAY
Second Line	:
City	:	AURORA
State	:	IN
Zip	:	47001-1403
Country	:	US
Telephone Number	:	812-496-8783
Fax Number	:	812-432-3386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	11/21/2025

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Directions to “ DR. RANDALL P LEDUC MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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