Provider Demographics
NPI:1497877187
Name:LESSING, MARILYN KAY (APRN,BC)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:KAY
Last Name:LESSING
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 CINCINNATI BATAVIA PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1279
Mailing Address - Country:US
Mailing Address - Phone:513-752-9610
Mailing Address - Fax:513-732-8734
Practice Address - Street 1:796 CINCINNATI BATAVIA PIKE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1279
Practice Address - Country:US
Practice Address - Phone:513-752-9610
Practice Address - Fax:513-732-8734
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-08768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2921360Medicaid
OHNP29641Medicare PIN