Individual
MS. LESHA LORETTA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2004 CUMBERLAND AVE STE 100, MIDDLESBORO, KY 40965
(606) 248-3015
(606) 248-3024
Mailing address
2004 CUMBERLAND AVE STE 100, MIDDLESBORO, KY 40965-1385
(606) 248-3015
(606) 248-3024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC781
KY
Other
Enumeration date
01/27/2017
Last updated
06/23/2023
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