Provider Demographics
NPI:1720169931
Name:HALLOWS, LEONA P (RN, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:LEONA
Middle Name:P
Last Name:HALLOWS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2918 CRONE RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6619
Mailing Address - Country:US
Mailing Address - Phone:937-401-6881
Mailing Address - Fax:937-401-7312
Practice Address - Street 1:1997 MIAMISBURG-CENTERVILLE ROAD
Practice Address - Street 2:SOUTHVIEW HOSPITAL MATERNITY
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459
Practice Address - Country:US
Practice Address - Phone:937-401-6881
Practice Address - Fax:937-401-7312
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH105-22301163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1053339507OtherNPI FOR GVH/SVH HOSPITALS