Wood, Lesley E

Wood, Lesley E is an sole proprietor health care provider with primary practice located at 1670 Willow Creek Rd Ste A , Prescott AZ 86301-1112. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Wood, Lesley E can be contacted via phone (928) 515-0632.

Contact Information

Primary practice address
1670 Willow Creek Rd Ste A Prescott AZ 86301-1112
Phone: (928) 515-0632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OP60640701 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0054252 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 007403 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 237099 Massachusetts
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OP60640701 Washington

Profile Details

NPI number 1558519231
LBN Legal business name Wood, Lesley E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2008
Last updated Mar 8th, 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 1558519231 NPPES
Washington MEDICAID 2061364

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