Individual
LEAH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 44122-7341
(216) 831-5700
Mailing address
4988 HAWKINS RD, RICHFIELD, OH 44286-9539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004732RX
OH
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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