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NPI Code Detail

MEDICARE: LESLEY TELFOR

MEDICARE: LESLEY TELFOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA0400XAddiction (Substance Use Disorder) Registered Nurse4704363239MI

General Provider Information

NPI Number : 1023759438
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY TELFOR
Provider Business Mailing Address
First Line : 747 E 8TH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-2662
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 747 E EIGHTH ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-2662
Country : US
Telephone Number : 231-346-5216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 04/07/2022

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Directions to “ LESLEY TELFOR ” Practice Location

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