Provider Demographics
NPI:1801970918
Name:TRACHTE, LESLYE S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LESLYE
Middle Name:S
Last Name:TRACHTE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:7712 WYATT LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-5351
Mailing Address - Country:US
Mailing Address - Phone:580-458-2037
Mailing Address - Fax:580-458-2631
Practice Address - Street 1:4300 THOMAS STREET
Practice Address - Street 2:POPULATION HEALTH CLINIC
Practice Address - City:FT SILL
Practice Address - State:OK
Practice Address - Zip Code:73503
Practice Address - Country:US
Practice Address - Phone:580-458-2037
Practice Address - Fax:580-458-2631
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK131811835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy