Provider Information for 1588116925
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ALICIA MARIE LEITWEIN LCDC II
Sex: Female
NPI: 1588116925
Last Updated: 2025-03-07
Certification Date: 2025-03-07
Certification Date: 2025-03-07
Details
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NPI | 1588116925 | ||||||||||||
Enumeration Date | 2016-11-02 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 4490 SITTERLY RD CANAL WINCHESTER, OH 43110-8870 United States Phone: 614-315-6297 | Fax: | ||||||||||||
Primary Practice Address | 131 W MAIN ST LANCASTER, OH 43130-3719 United States Phone: 614-746-8725 | Fax: | ||||||||||||
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