Individual
LORI R. LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8819 COMMONS BLVD # 100, TWINSBURG, OH 44087-2177
(330) 425-2212
(330) 425-2779
Mailing address
6751N CHESTNUT ST, RAVENNA, OH 44266-3903
(330) 296-3641
(330) 296-5297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34006358L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065723
—
OH
Enumeration date
04/27/2006
Last updated
07/29/2015
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