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1821388406

NPI Code Detail

MEDICARE: WILMYNE LEGER LPN

MEDICARE: WILMYNE LEGER LPN

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
1	207Q00000X	Family Medicine Physician	0036388	OH
2	363LF0000X	Family Nurse Practitioner	327995	AZ
3	207Q00000X	Family Medicine Physician	84990	NM
4	207Q00000X	Family Medicine Physician	C-APN.0104711-C-NP	CO
5	207Q00000X	Family Medicine Physician	AP70026484	WA
6	363L00000X	Nurse Practitioner	APRN11027643	FL

General Provider Information

NPI Number	:	1821388406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILMYNE LEGER LPN

Provider Business Mailing Address
First Line	:	15280 NW 79TH CT STE 200
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-5873
Country	:	US
Telephone Number	:	305-558-3724
Fax Number	:

Provider Business Practice Location Address
First Line	:	6015 E BROWN RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205-4452
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2011
Last Update Date	:	01/11/2026

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Directions to “ WILMYNE LEGER LPN” Practice Location

Language	Start Address	Practice Location

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