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NPI Code Detail

MEDICARE: LESLIE LYNN LEACH

MEDICARE: LESLIE LYNN LEACH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist03119123OH

General Provider Information

NPI Number : 1902400120
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE LYNN LEACH
Provider Business Mailing Address
First Line : 67 LUTHER JONES RD
Second Line :
City : JACKSON
State : OH
Zip : 45640-9700
Country : US
Telephone Number : 740-395-3429
Fax Number :
Provider Business Practice Location Address
First Line : 353 E MAIN ST
Second Line :
City : JACKSON
State : OH
Zip : 45640-1758
Country : US
Telephone Number : 740-286-6401
Fax Number : 740-286-4069
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2020
Last Update Date : 11/29/2020

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Directions to “ LESLIE LYNN LEACH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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