Lesette D Witherspoon in Carson - Medical
Lesette D Witherspoon - NPI 1861590804
Lesette D Witherspoon is a Medical in Carson, California. Lesette D Witherspoon practices all healthcare services and medical treatments related to Medical. The NPI Number for Lesette D Witherspoon is 1861590804. The last update date is 2007-07-08.
Lesette D Witherspoon's current location address is 401 W 220th St Unit 43, Carson, California. You can contact this provider via phone number 3103245777 and fax number 3103246245. The mailing address for Lesette D Witherspoon is 401 W 220th St Unit 43, Carson, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lesette D Witherspoon |
|---|---|
| Address | 401 W 220th St Unit 43, Carson, California |
| Phone Number | 3103245777 |
| Fax Number | 3103246245 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1861590804 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 401 W 220th St Unit 43 |
|---|---|
| City | Carson |
| State | California (CA) |
| Post Code | 907452865 |
| Phone Number | 3103245777 |
| Fax Number | 3103246245 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA11614 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique provider identifier assigned to Lesette D Witherspoon?
The Lesette D Witherspoon has been issued the NPI (National Provider Identifier) 1861590804 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lesette D Witherspoon located?
The Lesette D Witherspoon is located at 401 W 220Th St Unit 43, Carson, CA 907452865.
What is the Lesette D Witherspoon's specialty and taxonomy code?
The Lesette D Witherspoon's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Lesette D Witherspoon receive its 1861590804?
The Lesette D Witherspoon was issued its 1861590804 on 2006-09-21, which is the date when the organization was assigned this unique identifier.
When was the information related to Lesette D Witherspoon most recently updated or refreshed?
The details pertaining to the Lesette D Witherspoon, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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