Provider Demographics
NPI:1447228374
Name:SCHONEMAN, LESLIE BROOKS (PA-C)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:BROOKS
Last Name:SCHONEMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:B
Other - Last Name:SALING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9040A FITZSIMMONS DR
Mailing Address - Street 2:GENERAL SURGERY
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-4499
Mailing Address - Country:US
Mailing Address - Phone:253-968-2200
Mailing Address - Fax:
Practice Address - Street 1:9040A FITZSIMMONS DR
Practice Address - Street 2:GENERAL SURGERY
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-4499
Practice Address - Country:US
Practice Address - Phone:253-968-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003933363AM0700X, 363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant