Provider Demographics
NPI:1093376303
Name:ZALETEL, LEAH MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:ZALETEL
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 1:96 BRIGHTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:LUCAS
Mailing Address - State:OH
Mailing Address - Zip Code:44843-9578
Mailing Address - Country:US
Mailing Address - Phone:419-961-2346
Mailing Address - Fax:
Practice Address - Street 1:96 BRIGHTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LUCAS
Practice Address - State:OH
Practice Address - Zip Code:44843-9578
Practice Address - Country:US
Practice Address - Phone:419-961-2346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-123864164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse