Provider Demographics
NPI:1326842014
Name:LEROY, JULIA RENEE
Entity type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:RENEE
Last Name:LEROY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3688 BRINELL ST W APT 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3786
Mailing Address - Country:US
Mailing Address - Phone:614-822-7425
Mailing Address - Fax:
Practice Address - Street 1:8600 SANCUS BLVD STE 130
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4102
Practice Address - Country:US
Practice Address - Phone:614-822-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPR0054048246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other