Clark-Loeser, Lesley
Clark-Loeser, Lesley is an individual health care provider with primary practice located at 3501 S University Dr Suite 5, Davie FL 33328-2001. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark-Loeser, Lesley can be contacted via phone (954) 998-0345.Contact Information
Primary practice address
3501 S University Dr Suite 5
Davie FL 33328-2001
Phone: (954) 998-0345
Fax: (954) 998-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME92842 | Florida |
Profile Details
| NPI number | 1265429583 |
|---|---|
| LBN Legal business name | Clark-Loeser, Lesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jan 17th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265429583 | NPPES |
| Florida | Other | 28636 | BC & BS OF FLORIDA |
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