Individual
MS. AMANDA J LECKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, M-IV
Contact information
Practice address
3522 PINE GREEN DR, DAYTON, OH 45414-2425
(937) 825-4394
Mailing address
3522 PINE GREEN DR, DAYTON, OH 45414-2425
(937) 825-4394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 141505 M-IV
OH
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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