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General NPI Number Information
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NPI Number | 1437539822
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Entity Type | Individual
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Provider Name | LEXIE ISAACS LEIGHTNER RD, LD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 914 N COAST HIGHWAY 101 STE A
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City | ENCINITAS
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State | CA
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Zip | 92024-2074
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Country | US
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Telephone | 202-932-9958
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Fax |
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Provider Business Mailing Address
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Address Line | 4465 N MERIDIAN ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46208-3533
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Country | US
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Telephone | 317-903-4866
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 37003689A
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License Number State | IN
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