Individual
LEANNA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
(513) 246-7590
Mailing address
4600 WESLEY AVE STE N, CINCINNATI, OH 45212-2274
(513) 246-7796
(513) 246-7855
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.121699
OH
207R00000X
Internal Medicine Physician
T2009017005
MO
Other
Enumeration date
07/01/2009
Last updated
07/16/2013
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