Leazenby, Lisa
Leazenby, Lisa is an individual health care provider with primary practice located at 1373 Fillmore St , Twin Falls ID 83301-3392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leazenby, Lisa can be contacted via phone (208) 737-9999.Contact Information
Primary practice address
1373 Fillmore St
Twin Falls ID 83301-3392
Phone: (208) 737-9999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28119323A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-1387A | Idaho |
Profile Details
| NPI number | 1437124658 |
|---|---|
| LBN Legal business name | Leazenby, Lisa |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 19th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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