Provider Demographics
NPI:1144899857
Name:CROMER, LEIGH ANN (LPN)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:CROMER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 E BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-9610
Mailing Address - Country:US
Mailing Address - Phone:513-488-5863
Mailing Address - Fax:
Practice Address - Street 1:7250 GATEWAY AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-3564
Practice Address - Country:US
Practice Address - Phone:513-912-6834
Practice Address - Fax:513-973-4006
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN134274164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse