MEDICARE: NANCI LEKOV

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	237700000X	Hearing Instrument Specialist	AS5053	FL

General Provider Information

NPI Number	:	1588116560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCI LEKOV

Provider Business Mailing Address
First Line	:	950 TAMIAMI TRL UNIT 103
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33953-3102
Country	:	US
Telephone Number	:	941-766-1996
Fax Number	:	941-766-1807

Provider Business Practice Location Address
First Line	:	950 TAMIAMI TRL UNIT 103
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33953-3102
Country	:	US
Telephone Number	:	941-766-1996
Fax Number	:	941-766-1807

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

Provider Enumeration Date	:	10/26/2016
Last Update Date	:	10/26/2016

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Directions to “ NANCI LEKOV ” Practice Location

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