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NPI Code Detail

MEDICARE: MRS. LISA A LEDL APN

MEDICARE:  MRS. LISA A LEDL  APN
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
1363LF0000XFamily Nurse PractitionerAPN00298NV

Other Identifiers

General Provider Information

NPI Number : 1568433217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA A LEDL APN
Provider Business Mailing Address
First Line : 1257 PAIUTE CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3202
Country : US
Telephone Number : 702-382-0784
Fax Number : 702-384-5272
Provider Business Practice Location Address
First Line : 1257 PAIUTE CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3202
Country : US
Telephone Number : 702-382-0784
Fax Number : 702-384-5272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 06/28/2022

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Directions to “ MRS. LISA A LEDL APN” Practice Location

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