MEDICARE: SUZANNE L. LEKSON M.D.

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	208000000X	Pediatrics Physician	35.077338	OH
2	207R00000X	Internal Medicine Physician	35077338	OH

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

General Provider Information

NPI Number	:	1942242813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE L. LEKSON M.D.

Provider Business Mailing Address
First Line	:	3301 MERCY HEALTH BLVD
Second Line	:	STE 445
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1105
Country	:	US
Telephone Number	:	513-215-9075
Fax Number	:	513-215-9099

Provider Business Practice Location Address
First Line	:	3301 MERCY HEALTH BLVD
Second Line	:	STE 445
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1105
Country	:	US
Telephone Number	:	513-215-9075
Fax Number	:	513-215-9099

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	01/30/2025

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