Individual
MARY RANEE LEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2696
(614) 722-2438
(614) 722-4966
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2696
(614) 722-2438
(614) 722-4966
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
35065318
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072126
—
OH
05
—
64961535
—
KY
05
—
6701227000
—
WV
Enumeration date
01/04/2006
Last updated
11/06/2008
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