Individual
RAYMOND J LEYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-7375
Mailing address
4105 STRATFORD RD, BOARDMAN, OH 44512-1068
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
35078365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2287421
—
OH
01
—
942460636273
CARESOURCE
OH
01
—
P00221506
MEDICARE RR-GA
OH
Enumeration date
08/01/2006
Last updated
07/08/2007
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