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We've Got You Covered


Dr. Fred A. Wagshul, M.D.

Dr. Wagshul completed his internship and residency in 1984 at Perth Amboy Hospital, New Jersey College of Medicine and Dentistry. He spent two years at Norwalk Hospital, Yale University School of Medicine, completing a pulmonary fellowship.

Dr. Wagshul has a clinical appointment with Wright State University School of Medicine and has been elected into their Alpha-Omega-Alpha Honor Society.


First among his areas of interest are the following: asthma, COPD, emphysema, acute and chronic bronchitis, and atypical bronchitis.

Dr. Wagshul is a member of the American College of Chest Physicians, the Ohio State Medical Association, and the Montgomery County Medical Society. Dr. Wagshul has been in private practice in South Dayton since his fellowship in 1986.

View Dr. Wagshul's Credentials 

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Denisea K. Mount, MSN, APRN, FNP-C

Denisea attended and graduated with an Associate of Science in Nursing from the Kettering College of Medical Arts, Kettering, Ohio, in 1992. That degree was followed by a Bachelor of Science in Nursing, from The Ohio State University, Columbus, Ohio,​ in 2009. Denisea graduated from South University, Savannah, Georgia,  with a Master of Science in Nursing in 2020 South University, Savannah, in Family Nurse Practitioner Specialty.

She most recently worked as an Advanced Practice Family Nurse Practitioner at CVS Minute Clinic, Springboro, Ohio, and as a Registered Nurse / Charge Nurse / Observation Unit / Emergency Room.

Atrium Medical Center, Middletown, Ohio.

View Denisea's Credentials 

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Kristal Ledbetter - NP

Newly graduated Nurse Practitioner with 21 years of experience as a registered nurse offering proven clinical knowledge, natural interpersonal strengths, technical abilities, and charge nurse experience. Knowledgeable about EMR charting, medication administration, and interdisciplinary collaboration focused on optimizing patient care and support. Committed to providing high-quality patient care with a compassionate and friendly attitude.

View Kristal's Credentials 

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Julie Eversole, Operations Manager

Julie Eversole has been our Operations Manager since 2015. Julie has extensive experience in medical management.


At LCOA, Julie is responsible for day-to-day operations, including billing, marketing, project management, employee relations, and human resources.


Julie completed course work at Wright State University and is a member of the American Medical Association.

Tish, Chronic Care Manager

Tish oversees the day-to-day care management for chronically ill patients with chronic diseases such as chronic kidney disease, diabetes mellitus, chronic obstructive pulmonary disease, and/or congestive heart failure.  


The Chronic Care Coordinator collaborates with chronically ill patients and their family/caregiver(s), clinic providers, and community resources.

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Office Manager



Respiratory Therapist, RRT



Respiratory Therapist, RRT

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Mary Jane

Office Coordinator

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Medical Assistant

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Medical Assistant

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Administrative Assistant 

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Medical Assistant

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