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NPI Code Detail

MEDICARE: MRS. CHRISTINE M. LESACA P.N.P.

MEDICARE: MRS. CHRISTINE M. LESACA P.N.P.
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
1163W00000XRegistered Nurse544362CA
2363LP0200XPediatric Nurse Practitioner15163CA

General Provider Information

NPI Number : 1144403981
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE M. LESACA P.N.P.
Provider Business Mailing Address
First Line : 2010 ZONAL AVE
Second Line : OPD 3P-61
City : LOS ANGELES
State : CA
Zip : 90089-0121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2010 ZONAL AVE
Second Line : OPD 3P-61
City : LOS ANGELES
State : CA
Zip : 90089-0121
Country : US
Telephone Number : 323-226-5086
Fax Number : 323-226-5134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2007
Last Update Date : 10/13/2011

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