Provider Demographics
NPI:1942242813
Name:LEKSON, SUZANNE L (MD)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:L
Last Name:LEKSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 MERCY HEALTH BLVD
Mailing Address - Street 2:STE 445
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1105
Mailing Address - Country:US
Mailing Address - Phone:513-215-9075
Mailing Address - Fax:513-215-9099
Practice Address - Street 1:3301 MERCY HEALTH BLVD
Practice Address - Street 2:STE 445
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-1105
Practice Address - Country:US
Practice Address - Phone:513-215-9075
Practice Address - Fax:513-215-9099
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.077338208000000X
OH35077338207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0230075Medicaid
OHH414500Medicare PIN
OH0230075Medicaid
OHSU4014951Medicare ID - Type Unspecified