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NPI Code Detail

MEDICARE: DORNETTE SPELL-LESANE NP, DRPH

MEDICARE:   DORNETTE  SPELL-LESANE  NP, DRPH
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
1363LX0106XOccupational Health Nurse PractitionerR110197MD

General Provider Information

NPI Number : 1750922035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORNETTE SPELL-LESANE NP, DRPH
Provider Business Mailing Address
First Line : 10903 NEW HAMPSHIRE AVE RM 1037
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-1058
Country : US
Telephone Number : 301-796-8224
Fax Number :
Provider Business Practice Location Address
First Line : 10903 NEW HAMPSHIRE AVE RM 1037
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-1058
Country : US
Telephone Number : 301-796-8224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 10/08/2019

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Directions to “ DORNETTE SPELL-LESANE NP, DRPH” Practice Location

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