Provider Demographics
NPI:1548539976
Name:LEFTON, EVA RAY (MD)
Entity type:Individual
Prefix:DR
First Name:EVA
Middle Name:RAY
Last Name:LEFTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 DEERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7502
Mailing Address - Country:US
Mailing Address - Phone:216-831-2040
Mailing Address - Fax:
Practice Address - Street 1:16 DEERFIELD LN
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7502
Practice Address - Country:US
Practice Address - Phone:216-831-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35026653207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine