Healthcare Provider Details

I. General information

NPI: 1679218473
Provider Name (Legal Business Name): LYNDSEY LEFFEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3975 ADDLESTONE AVE UNIT 108
WESLEY CHAPEL FL
33543-5582
US

IV. Provider business mailing address

3975 ADDLESTONE AVE UNIT 108
WESLEY CHAPEL FL
33543-5582
US

V. Phone/Fax

Practice location:
  • Phone: 412-916-5100
  • Fax:
Mailing address:
  • Phone: 412-916-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number9506704
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: