Individual
SHANE LESLIE LEIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
18840 NW 24TH CT, PEMBROKE PINES, FL 33029-5354
(772) 321-1119
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
69210
CT
207P00000X
Emergency Medicine Physician
S9734
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/10/2018
Last updated
07/13/2023
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