Individual
MRS. LESLEY ANNE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7527 COLLEGE STATION DR, WILLIAMSBURG, KY 40769-1386
(606) 539-4550
(606) 539-4469
Mailing address
7527 COLLEGE STATION DR, WILLIAMSBURG, KY 40769-1386
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
#TC085
KY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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