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1013253707 NPI number — LISA LYNNE LEESE NP

NPI Number: 1013253707
Health Care Provider/Practitioner: LISA LYNNE LEESE NP

Information about “1013253707” NPI (LISA LYNNE LEESE NP) exists in 1013253707 in HTML format HTML  |  1013253707 in plain Text format TXT  |  1013253707 in PDF (Portable Document Format) PDF  |  1013253707 in an XML format XML  formats.

NPI Number : 1013253707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013253707",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEESE",
    "FirstName": "LISA",
    "MiddleName": "LYNNE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2200 JEFFERSON AVE FL 5",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TOLEDO",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "43604-7102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2815 DUSTIN RD STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OREGON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "43616-3497",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "419-691-5716",
    "PracticeLocationAddressFaxNumber": "419-691-3340",
    "EnumerationDate": "12/27/2012",
    "LastUpdateDate": "10/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.14008",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "364SW0102X",
          "TaxonomyName": "Women's Health Clinical Nurse Specialist",
          "LicenseNumber": "COA 14008 NP",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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