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Individual

LEANNA MARIE WITHROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1430 COLUMBUS AVE, WASHINGTON COURT HOUSE, OH 43160-1703
(740) 335-1210
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(740) 335-1210

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.009575
OH
207Q00000X
Family Medicine Physician
03249
KY
207Q00000X
Family Medicine Physician
Primary
34.009575
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3025407
OH
Enumeration date
06/27/2007
Last updated
01/03/2024
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