Smith, Lesley Jeanine

Smith, Lesley Jeanine is an individual health care provider with primary practice located at 709 N Czech Hall Rd , Yukon OK 73099-7897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Smith, Lesley Jeanine can be contacted via phone (405) 494-8600.

Contact Information

Primary practice address
709 N Czech Hall Rd Yukon OK 73099-7897
Fax: (405) 494-8567
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 825 Oklahoma

Profile Details

NPI number 1740248582
LBN Legal business name Smith, Lesley Jeanine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jan 12th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740248582 NPPES
Oklahoma MEDICAID 100108200A
Oklahoma Other 970018308

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