Roberts, Lesley Susanne

Roberts, Lesley Susanne is an individual health care provider with primary practice located at 913 W Canfield Ave , Coeur D Alene ID 83815-9764. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roberts, Lesley Susanne can be contacted via phone (208) 819-7103.

Contact Information

Primary practice address
913 W Canfield Ave Coeur D Alene ID 83815-9764
Phone: (208) 819-7103
Fax: (208) 719-0050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-1508 Idaho

Profile Details

NPI number 1568695062
LBN Legal business name Roberts, Lesley Susanne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Jun 20th, 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 1568695062 NPPES
Idaho MEDICAID 1568695062

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