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Individual

SAMANTHA HASTIE LECONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 463-2500
(513) 463-2510
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 354-7785

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005713RX
OH
363AM0700X
Medical Physician Assistant
PA2496
KY
363AS0400X
Surgical Physician Assistant
50.005713RX
OH
363AS0400X
Surgical Physician Assistant
PA2496
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0317322
OH
Enumeration date
09/24/2018
Last updated
08/03/2022
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