MEDICARE: MRS. LESLIE ANN LINDHOLM RN, FNP

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	363LF0000X	Family Nurse Practitioner	666287	TX

General Provider Information

NPI Number	:	1821014630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LESLIE ANN LINDHOLM RN, FNP

Provider Business Mailing Address
First Line	:	948 JUSTICE RD
Second Line	:
City	:	WEST POINT
State	:	TX
Zip	:	78963-5232
Country	:	US
Telephone Number	:	832-289-5060
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 W TRAVIS ST
Second Line	:
City	:	LA GRANGE
State	:	TX
Zip	:	78945-2522
Country	:	US
Telephone Number	:	979-968-3711
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/22/2022

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