Individual
MICHELLE MCKENNA LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8787 BROOKPARK RD, PARMA, OH 44129-6809
(216) 739-7000
Mailing address
8787 BROOKPARK RD, PARMA, OH 44129-6809
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN.084272.MEDS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN.084272MEDS
VA
OH
Enumeration date
12/13/2022
Last updated
12/13/2022
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