Individual
LESLIE J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
850 COLUMBIA RD, WESTLAKE, OH 44145-1493
(440) 808-4000
Mailing address
336 PLYMOUTH DR, BAY VILLAGE, OH 44140-1451
(440) 871-4731
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0970454
—
OH
Enumeration date
08/11/2005
Last updated
07/09/2007
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