Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 03973 | KY |
Y | 208600000X | Surgeon | 03973 | KY |
N | 2086S0102X | Surgical Critical Care | 03973 | KY |
NPI | 1093947293 |
---|---|
Provider Name | Leonardo Anthony Geraci |
First Address | Cincinnati, OH 45263-5283 |
Second Address | Edgewood, KY 41017-5401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2009 |
Last Update Date | 09/03/2020 |