Ryan Gaston Leckner
Ryan Gaston Leckner is a Physician Assistant in South Lyon, Michigan. Qualified in 2025, 1 year ago. Practices with Pain Specialists of Charleston, a 17-clinician group and accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2024
Practice location Address checks out
22655 Indianwood DrSouth Lyon, MI 48178-9420
Phone: (248) 880-0878
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1154157907 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 9, 2024 |
| Last updated in NPPES | September 9, 2024 |
| Certification date | September 9, 2024 |
| Mailing address | 22655 Indianwood Dr, South Lyon, MI 48178-9420 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Pain Specialists Of Charleston — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in South Lyon
-
Jenna Marie Carter, PA-C
22024 Pontiac Trl, South Lyon, MI 48178-9410 · (248) 437-2525
-
Vincent Robert Gasparotto, PA-C
22990 Pontiac Trl, South Lyon, MI 48178-1641 · (248) 667-9202
-
Madison Marie Masters, PA-C
106 S Lafayette St, South Lyon, MI 48178-1404 · (947) 348-1176
-
Hiba Shakir
24279 Bay Laurel Ln, South Lyon, MI 48178-8378 · (802) 598-8891
-
Kathryn Ansley Smith, PA-C
12427 Janes Lndg, South Lyon, MI 48178-2801 · (248) 935-1115