Individual
LESLEY JEANINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
709 N CZECH HALL RD, YUKON, OK 73099-7897
(405) 494-8600
(405) 494-8567
Mailing address
709 N CZECH HALL RD, YUKON, OK 73099-7897
(405) 494-8600
(405) 494-8567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
825
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108200A
—
OK
01
—
970018308
RR MEDICARE
OK
Enumeration date
05/02/2006
Last updated
01/12/2026
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