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Active NPI 1619997442 Individual Practitioner Female Practitioner

Leslie Lynne Graham , LPN

Licensed Practical Nurse • Willowick, OH

Professional Overview & Biography Verified Profile Summary

Leslie Graham, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Willowick, OH. Practice services are available at 696 DICKERSON under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

696 Dickerson

Willowick, OH 44095

Telephone 4409430391

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Willowick, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Willowick, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN092731

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2434 (OH)
Medicaid State Provider ID
2350638 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 696 DICKERSON, WILLOWICK, OH 44095 (Tel: 4409430391)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2321 GREEN RIDGE DR., WICKLIFFE, OH 44092 (Tel: 4403479653)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LESLIE GRAHAM, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Licensed Practical Nurse (License #PN092731 in OH)

🟢
Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619997442
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2321 Green Ridge Dr.

Wickliffe, OH 44092

Phone: 4403479653

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.