Leon Lake
NPI #1720894108 in West Portsmouth, Ohio
Provider Information
- NPI Number
- 1720894108
- Entity Type
- Individual
- Name
- Leon Lake
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 10, 2024
- Last Updated
- Dec 10, 2024
Practice Location
- Address
- 1359 11TH ST
- City
- West Portsmouth
- State
- Ohio
- ZIP Code
- 45663-5819
- Phone
- (740) 456-7190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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