Individual
LEAH KIM SIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CRILE BUILDING DESK A 10, 9500 EUCLID AVENUE, CLEVELAND, OH 44195-0001
(216) 444-4668
(216) 445-1654
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01063343A
IN
2085R0202X
Diagnostic Radiology Physician
35098161
OH
2085R0202X
Diagnostic Radiology Physician
57947
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057249
—
OH
05
—
1336192665
—
IN
05
—
200945270
—
IN
05
—
7100903460
—
KY
Enumeration date
06/26/2008
Last updated
01/04/2024
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