Leistner, Lois M

Leistner, Lois M is an individual health care provider with primary practice located at 1367 E Lafayette St Suite B, Tallahassee FL 32301-4774. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Leistner, Lois M can be contacted via phone (850) 325-6590.

Contact Information

Primary practice address
1367 E Lafayette St Suite B Tallahassee FL 32301-4774
Phone: (850) 325-6590
Fax: (850) 325-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R0076048 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1654742 Florida

Profile Details

NPI number 1376613786
LBN Legal business name Leistner, Lois M
Credentials A.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Oct 14th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376613786 NPPES
Oklahoma MEDICAID 200080590A
Oklahoma MEDICAID 200026170B

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