Healthcare Provider Details

I. General information

NPI: 1578759981
Provider Name (Legal Business Name): LESLIE MCALLISTER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N FRONT ST
SUNBURY PA
17801-1336
US

IV. Provider business mailing address

219 LOCUST RD
PAXINOS PA
17860-7497
US

V. Phone/Fax

Practice location:
  • Phone: 570-339-7897
  • Fax:
Mailing address:
  • Phone: 570-235-8264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number9995552
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN294772
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: