Individual
MICHELLE LYNN LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52008 N RIDGE RD, VERMILION, OH 44089-9409
(440) 222-9320
Mailing address
52008 N RIDGE RD, VERMILION, OH 44089-9409
(440) 222-9320
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN500953
OH
164W00000X
Licensed Practical Nurse
127050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2896362
—
OH
Enumeration date
02/03/2009
Last updated
01/11/2022
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