Leslie Lee Breidenbach in Racine - Licensed Practical Nurse

Leslie Lee Breidenbach - NPI 1821126319

Leslie Lee Breidenbach is a Licensed Practical Nurse in Racine, Wisconsin. Leslie Lee Breidenbach practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Leslie Lee Breidenbach is 1821126319. The last update date is 2007-07-09.

Leslie Lee Breidenbach's current location address is 1330 Grove Ave, Racine, Wisconsin. You can contact this provider via phone number 2626334548. The mailing address for Leslie Lee Breidenbach is 1330 Grove Ave, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Lee Breidenbach
Address 1330 Grove Ave, Racine, Wisconsin
Phone Number 2626334548
Fax Number
Sole Proprietor Y
Credentials L.P.N.

NPI Number Detail

NPI Number 1821126319
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1330 Grove Ave
City Racine
State Wisconsin (WI)
Post Code 534053045
Phone Number 2626334548
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 28104-031
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38317300 WI --

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FAQs about Leslie Lee Breidenbach

What is the unique identification code assigned to Leslie Lee Breidenbach by the Centers for Medicare & Medicaid Services?

The Leslie Lee Breidenbach has been issued the NPI (National Provider Identifier) 1821126319. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Leslie Lee Breidenbach is physically located?

The Leslie Lee Breidenbach is situated at the following address: 1330 Grove Ave, Racine, WI 534053045.

What is the area of specialization for Leslie Lee Breidenbach, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Leslie Lee Breidenbach is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.

On what date did the Leslie Lee Breidenbach receive its 1821126319 assignment from the Centers for Medicare & Medicaid Services?

The Leslie Lee Breidenbach was assigned its 1821126319 by the Centers for Medicare & Medicaid Services on 2007-02-28.

When was the information regarding Leslie Lee Breidenbach most recently updated?

The details pertaining to the Leslie Lee Breidenbach, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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