Leslie Johnson PA-C

NPI 1790115228 - Physician Assistant - 363A00000X

NPI Details
NPI 1790115228
Gender Female
Enumeration Date 11/19/2013
Last Updated 05/08/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
730 W MARKET ST
LIMA OH, 45801-4602, US
Phone (419) 226-9050
Fax
Business Location
4750 HEMPSTEAD STATION DR
KETTERING OH, 45429-5164, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Ohio
License Number 003921
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According to our database, Leslie Johnson PA-C NPI is 1790115228, taxonomy code is 363A00000X and license number is 003921, license state is located at Ohio. Leslie Johnson PA-C physically located at 730 W Market St, Lima OH, 45801-4602. NPI Number Leslie Johnson PA-C has the Individual type.

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1790115228 NPI number is provided on an as is basis without warranty of any kind. 1790115228 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Johnson PA-C are for informational purposes only.