Individual
LESLEE RENEE MCELRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2855 W MARKET ST STE 204, FAIRLAWN, OH 44333-4034
(234) 281-4384
(234) 203-5011
Mailing address
2855 W MARKET ST STE 204, FAIRLAWN, OH 44333-4034
(234) 281-4384
(234) 203-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.132878
OH
207Q00000X
Family Medicine Physician
ME134997
FL
207QA0505X
Adult Medicine Physician
D0082710
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289520
—
OH
Enumeration date
05/13/2013
Last updated
10/11/2021
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