Individual
LEANN COBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3130 HIGHLAND AVE, ML 0782, CINCINNATI, OH 45219-2399
(513) 584-4503
(513) 584-0462
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-063597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0888062
—
OH
05
—
200037890
—
IN
05
—
64930969
—
KY
Enumeration date
04/20/2006
Last updated
07/13/2017
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