| Doctor Name: | LEAH STONE |
| NPI Number: | 1013375484 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | F0116375 |
| Business Practice Address: | 726 N Locust Ave 1st Fl, Ste D Lawrenceburg, TN - 384642865 |
| Business Phone Number: | 9317667056 |
| Business Fax Number: | 9317667057 |
| Mailing Address: | 100 2nd Ave S, LORETTO |
| State: | TN |
| Postal Code: | 384692120 |
| Phone Number: | 9317667065 |
| Fax Number: | 9317667057 |
| NPI Enumeration Date: | 02/01/2016 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0116375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |