Individual
SUSAN L LECATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3333 BURNET AVE, ML 2015, CINCINNATI, OH 45229-3039
(513) 636-4222
(513) 636-3980
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.05510
OH
363LP0200X
Pediatric Nurse Practitioner
COA.05510-NP
OH
Other
Enumeration date
07/25/2006
Last updated
11/20/2017
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