Healthcare Provider Details

I. General information

NPI: 1154266922
Provider Name (Legal Business Name): EMELY LESSO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 ROSIN CT
SACRAMENTO CA
95834-1639
US

IV. Provider business mailing address

3840 ROSIN CT
SACRAMENTO CA
95834-1639
US

V. Phone/Fax

Practice location:
  • Phone: 916-546-6860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number23E1C26D91
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License NumberY1964643
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: