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NPI Code Detail

MEDICARE: DEBRA LESIN FNP BC

MEDICARE:   DEBRA  LESIN  FNP BC
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
1363LF0000XFamily Nurse Practitioner95001009CA

General Provider Information

NPI Number : 1952701500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA LESIN FNP BC
Provider Business Mailing Address
First Line : 22801 PERA RD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-3836
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22801 PERA RD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-3836
Country : US
Telephone Number : 310-422-4611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2014
Last Update Date : 09/02/2014

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