Individual
LEO ROSANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1400 MITCH DANIELS BLVD STE C, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
Mailing address
1400 MITCH DANIELS BLVD STE B, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
12/04/2025
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