Provider Demographics
NPI:1982707550
Name:LEUVOY, RANDALL DON (DO)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:DON
Last Name:LEUVOY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2210
Mailing Address - Street 2:1981 GRANVILLE PIKE
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130
Mailing Address - Country:US
Mailing Address - Phone:740-681-1360
Mailing Address - Fax:740-681-1452
Practice Address - Street 1:1981 GRANVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130
Practice Address - Country:US
Practice Address - Phone:740-681-1360
Practice Address - Fax:740-681-1452
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004367L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0667952Medicaid
OH0667952Medicaid
OHLE0758853Medicare ID - Type Unspecified