| Louis Leone D.o. Inc. | |
|
320 Center St Chardon OH 44024-1165 | |
| (440) 285-8585 | |
| (440) 285-3754 |
| Full Name | Louis Leone D.o. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Center St, Chardon, Ohio |
| Authorized Official Name and Position | Louis Dominick Leone (PRESIDENT) |
| Authorized Official Contact | 4402858585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Leone D.o. Inc. 320 Center St Chardon OH 44024-1165 Ph: (440) 285-8585 | Louis Leone D.o. Inc. 320 Center St Chardon OH 44024-1165 Ph: (440) 285-8585 |
| NPI Number | 1356436679 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/01/2008 |
| Medicare PECOS PAC ID | 9032110986 |
|---|---|
| Medicare Enrollment ID | O20070122000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356436679 | NPI | - | NPPES |
| 2730067 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4166 (Ohio) | Primary |
| Provider Name | Louis Dominick Leone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992791636 PECOS PAC ID: 3577564426 Enrollment ID: I20070122000387 |
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