Healthcare Provider Details

I. General information

NPI: 1518461060
Provider Name (Legal Business Name): LESLIE MICHAEL SACHON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N EWING ST
LANCASTER OH
43130-3372
US

IV. Provider business mailing address

401 N EWING ST
LANCASTER OH
43130-3372
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-8100
  • Fax:
Mailing address:
  • Phone: 740-687-8100
  • Fax: 614-544-1028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.01462
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberH0106370
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number34.01462
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: