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NPI Code Detail

MEDICARE: MRS. MELISSA J LEAL LPN

MEDICARE:  MRS. MELISSA J LEAL  LPN
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
1164W00000XLicensed Practical NursePN. 132039OH

General Provider Information

NPI Number : 1992940506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA J LEAL LPN
Provider Business Mailing Address
First Line : 1029 TOWNSHIP ROAD 14
Second Line :
City : VAN BUREN
State : OH
Zip : 45889-9608
Country : US
Telephone Number : 419-722-0826
Fax Number :
Provider Business Practice Location Address
First Line : 1029 TOWNSHIP ROAD 14
Second Line :
City : VAN BUREN
State : OH
Zip : 45889-9608
Country : US
Telephone Number : 419-722-0826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2008
Last Update Date : 12/10/2008

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Directions to “ MRS. MELISSA J LEAL LPN” Practice Location

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