Basic Information
| Provider Information | |||||||||
| NPI: | 1518461060 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SACHON | ||||||||
| FirstName: | LESLIE | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 N EWING ST | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431303372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406878100 | ||||||||
| FaxNumber: | 6145441028 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 N EWING ST | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 431303372 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7406878100 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2018 | ||||||||
| LastUpdateDate: | 11/02/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 34.01462 | OH | N | Allopathic & Osteopathic Physicians | General Practice | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207P00000X | 34.01462 | OH | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.