Organization
DAYTON VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON LACY LMSW (OUTREACH SOCIAL WORKER)
(937) 268-6511
Entity
Organization
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
82 ABBEY DR, SPRINGBORO, OH 45066-8322
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
284300000X
Special Hospital
6801081048
MI
Other
Enumeration date
07/19/2006
Last updated
09/11/2025
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