Lesslie Marquez Durst in Charlotte - Physician Assistant

Lesslie Marquez Durst - NPI 1417093642

Lesslie Marquez Durst is a Physician Assistant in Charlotte, North Carolina. Lesslie Marquez Durst practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lesslie Marquez Durst is 1417093642. The last update date is 2015-12-02.

Lesslie Marquez Durst's current location address is 15830 Ballantyne Medical Place, Charlotte, North Carolina. You can contact this provider via phone number 7043410090 and fax number 7043410092. The mailing address for Lesslie Marquez Durst is 15830 Ballantyne Medical Place, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Lesslie Marquez Durst
Address 15830 Ballantyne Medical Place, Charlotte, North Carolina
Phone Number 7043410090
Fax Number 7043410092
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1417093642
Provider Enumeration Date 2007-01-29
Last Updated Date 2015-12-02

Provider Mailing Address Detail

Address 15830 Ballantyne Medical Place
City Charlotte
State North Carolina (NC)
Post Code 28277
Phone Number 7043410090
Fax Number 7043410092

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 0010-00785
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Lesslie Marquez Durst

What is the unique 10-digit identifier code assigned to Lesslie Marquez Durst by the Centers for Medicare & Medicaid Services?

The Lesslie Marquez Durst has been issued the NPI (National Provider Identifier) 1417093642 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Lesslie Marquez Durst is physically located?

The Lesslie Marquez Durst is situated at the following address: 15830 Ballantyne Medical Place, Charlotte, NC 28277.

What is Lesslie Marquez Durst's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lesslie Marquez Durst's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1417093642 to Lesslie Marquez Durst?

The Lesslie Marquez Durst received its 1417093642 assignment from the Centers for Medicare & Medicaid Services on 2007-01-29.

When was the information related to Lesslie Marquez Durst most recently updated or refreshed?

The details pertaining to the Lesslie Marquez Durst, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-02.

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