Lauren Elizabeth (Lisa) Leedom, R.PH., M.B.A.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-3-13455 Issued in OH

Practice address

17273 State Route 104
VA Medical Center Building 31 Room 200 (119)
Chillicothe, OH 45601-8608

Phone

(740) 773-1141

Fax

(740) 772-7199

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1487628970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "address_2": "VA MEDICAL CENTER BUILDING 31 ROOM 200 (119)",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018608",
            "telephone_number": "740-773-1141",
            "fax_number": "740-772-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "address_2": "VA MEDICAL CENTER BUILDING 31 ROOM 200 (119)",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018608",
            "telephone_number": "740-773-1141",
            "fax_number": "740-772-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEDOM",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH (LISA)",
        "credential": "R.PH., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-13455",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKellan Lee, CHW
• Patrina M Lee, LSW
• Peter H.U. Lee, MD, PHD, MPH
• Robert Lee, MD
• Yoonji Lee, PHARMD
• Brian Leeth
• Jeffrey David Leeth
• Keith Alan Leeth Jr., RN
• Candice Lefevre, MBA, AT, ATC
• Legacy Chillicothe Operating Company, LLC

• Pharmacist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.