| Doctor Name: | LESLIE DEATON |
| NPI Number: | 1083952188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007850 |
| Business Practice Address: | 145 Citizens Ln Suite B Hazard, KY - 417011320 |
| Business Phone Number: | 6064391300 |
| Business Fax Number: | 6064391400 |
| Mailing Address: | Po Box 1988, HAZARD |
| State: | KY |
| Postal Code: | 417021988 |
| Phone Number: | 6064357643 |
| Fax Number: | 6064365282 |
| NPI Enumeration Date: | 01/24/2013 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |