Mallett, Lesley

Mallett, Lesley is an individual health care provider with primary practice located at 13163 66Th St N , Largo FL 33773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mallett, Lesley can be contacted via phone (727) 228-7000.

Contact Information

Primary practice address
13163 66Th St N Largo FL 33773
Phone: (727) 228-7000
Fax: (727) 223-3614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9368654 Florida

Profile Details

NPI number 1184059321
LBN Legal business name Mallett, Lesley
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2013
Last updated Apr 10th, 2023 - about 2 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 1184059321 NPPES
Florida MEDICAID 009555900

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