Individual
JAMES LAWRENCE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVENUE, RADIOLOGY, ML 5031, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Mailing address
3333 BURNET AVENUE, RADIOLOGY, ML 5031, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
35.062742
OH
2085R0202X
Diagnostic Radiology Physician
35 062742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014178
ANTHEM
OH
05
—
0991057
—
OH
01
—
1620973
UNITED HEALTHCARE
OH
05
—
200039070A
—
IN
05
—
64937055
—
KY
01
—
651677
AETNA
OH
Enumeration date
01/30/2006
Last updated
04/13/2018
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