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NPI Code Detail

MEDICARE: MS. DEBRA ANN LESCHISIN RN-C

MEDICARE: MS. DEBRA ANN LESCHISIN RN-C
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
1363LW0102XWomen's Health Nurse PractitionerWI

General Provider Information

NPI Number : 1497878755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA ANN LESCHISIN RN-C
Provider Business Mailing Address
First Line : 242 100TH AVE
Second Line :
City : CLAYTON
State : WI
Zip : 54004-3113
Country : US
Telephone Number : 715-948-2897
Fax Number : 715-948-2897
Provider Business Practice Location Address
First Line : 100 POLK COUNTY PLZ
Second Line : SUITE 180
City : BALSAM LAKE
State : WI
Zip : 54810-9071
Country : US
Telephone Number : 715-485-8500
Fax Number : 715-485-8877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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