Healthcare Provider Details

I. General information

NPI: 1346230703
Provider Name (Legal Business Name): LESA MARKS POINSETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 10/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW STE 206
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

6007 QUEENSTON ST
SPRINGFIELD VA
22152-1723
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7937
  • Fax: 202-877-6599
Mailing address:
  • Phone: 703-644-9220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024145897
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: