Provider Demographics
NPI:1902148513
Name:LECKRONE, DANA LYNN
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:LYNN
Last Name:LECKRONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:LYNN
Other - Last Name:KAPIOTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9366 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45159
Mailing Address - Country:US
Mailing Address - Phone:513-253-8814
Mailing Address - Fax:513-741-5686
Practice Address - Street 1:5400 EDALBERT DRIVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239
Practice Address - Country:US
Practice Address - Phone:855-577-7284
Practice Address - Fax:513-741-5686
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator