Provider Demographics
NPI:1265922769
Name:ECKONEN, DANA LEE
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LEE
Last Name:ECKONEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S ERIE HWY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4315
Mailing Address - Country:US
Mailing Address - Phone:513-795-7557
Mailing Address - Fax:
Practice Address - Street 1:135 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LOCKLAND
Practice Address - State:OH
Practice Address - Zip Code:45215-4601
Practice Address - Country:US
Practice Address - Phone:513-827-6281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health