MEDICARE: MS. LESA MARKS POINSETT NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	0024145897	VA

General Provider Information

NPI Number	:	1346230703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESA MARKS POINSETT NP

Provider Business Mailing Address
First Line	:	6007 QUEENSTON ST
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1723
Country	:	US
Telephone Number	:	703-644-9220
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 IRVING ST NW STE 206
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-3017
Country	:	US
Telephone Number	:	202-877-7937
Fax Number	:	202-877-6599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	10/23/2018

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