Provider Demographics
NPI:1962494468
Name:SPRANCE, LEE ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ANNE
Last Name:SPRANCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 5TH ST NE
Mailing Address - Street 2:PARKVIEW CENTER
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-3332
Mailing Address - Country:US
Mailing Address - Phone:330-753-6717
Mailing Address - Fax:330-615-4161
Practice Address - Street 1:155 5TH ST NE
Practice Address - Street 2:PARKVIEW CENTER
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3332
Practice Address - Country:US
Practice Address - Phone:330-753-6717
Practice Address - Fax:330-615-4161
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067325S208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0982745Medicaid
OH846598OtherFIRST HEALTH
OH202453616026OtherCARESOURCE-HMO MEDICAID
OHQ014444BOtherHOMETOWN
OHSP0770282Medicare ID - Type Unspecified
OHP00216017Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH000000359683OtherANTHEM BC/BS
OH20-2453616OtherBRIDGE BENEFITS
OH729802Medicaid
OH3904911OtherAETNA
OH341371932COtherSUMMA