Individual
KATARINA LECKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2888
(574) 364-2590
Mailing address
PO BOX 834, GOSHEN, IN 46527-0834
(574) 364-2592
(574) 364-2759
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01089727A
IN
207RH0003X
Hematology & Oncology Physician
4301514402
MI
207RX0202X
Medical Oncology Physician
01089727A
IN
Other
Enumeration date
03/22/2006
Last updated
06/05/2025
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