Individual
LESLIE DENISE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
4230 STRINGTOWN RD NE, LANCASTER, OH 43130-8012
(740) 777-7880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50000358
OH
Other
Enumeration date
09/04/2006
Last updated
08/13/2020
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