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Individual

LEIGH ALLISON O'BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-6000
(330) 344-1714
Mailing address
4200 WHITMAN AVE, CLEVELAND, OH 44113
(304) 532-7022

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12.006433
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.16488
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000894496
ANTHEM
OH
05
0110754
OH
01
103671
AANA
OH
01
P01437071
RR MEDICARE
OH
Enumeration date
09/10/2014
Last updated
03/19/2018
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