Search › Ohio › 3747P1801X

Leon Lake

NPI 1720894108 · on the registry since 2024 · sole proprietor

Practice

Address
1359 11th St
West Portsmouth, OH 45663
Phone
(740) 456-7190

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Male
Record last updated
2024-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio