Provider Demographics
NPI:1194088179
Name:SINGLETON, LESLI ADELE (LPN)
Entity type:Individual
Prefix:MRS
First Name:LESLI
Middle Name:ADELE
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9252 COMSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2805
Mailing Address - Country:US
Mailing Address - Phone:513-225-8033
Mailing Address - Fax:
Practice Address - Street 1:9252 COMSTOCK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2805
Practice Address - Country:US
Practice Address - Phone:513-225-8033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-24
Last Update Date:2012-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN094697-MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse