Provider Demographics
NPI:1154178531
Name:CRAWFORD, LESHONDRA MARIE
Entity type:Individual
Prefix:
First Name:LESHONDRA
Middle Name:MARIE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 FAITH ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-5808
Mailing Address - Country:US
Mailing Address - Phone:513-970-5151
Mailing Address - Fax:
Practice Address - Street 1:2020 FAITH ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-5808
Practice Address - Country:US
Practice Address - Phone:513-970-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care