Individual
LEAH GRETCHEN CARLONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2195 HARRODSBURG RD FL 2, LEXINGTON, KY 40504-3516
(859) 323-8082
(859) 257-5901
Mailing address
80 E RICH ST APT 1215, COLUMBUS, OH 43215-5375
(614) 551-1787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.008702RX
OH
363A00000X
Physician Assistant
Primary
PA3441
KY
363AM0700X
Medical Physician Assistant
PA3441
KY
363AS0400X
Surgical Physician Assistant
PA3441
KY
Other
Enumeration date
03/20/2024
Last updated
01/10/2025
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