Individual
LEANNE MARGARET CASSERLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9885
(937) 523-9886
Mailing address
30 W MCCREIGHT AVE STE 106, SPRINGFIELD, OH 45504-1853
(937) 523-9885
(937) 523-9886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006754RX
OH
363AS0400X
Surgical Physician Assistant
50.006754
OH
Other
Enumeration date
11/11/2020
Last updated
12/04/2023
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