Leach, Lizette

Leach, Lizette is an sole proprietor health care provider with primary practice located at 1852 N Mastick Way , Nogales AZ 85621-1063. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Leach, Lizette can be contacted via phone (520) 281-1550.

Contact Information

Primary practice address
1852 N Mastick Way Nogales AZ 85621-1063
Phone: (520) 281-1550
Fax: (520) 281-1112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7306 Arizona
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1376027540
LBN Legal business name Leach, Lizette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2018
Last updated Mar 21st, 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 1376027540 NPPES
Arizona MEDICAID 482965
Arizona Other 7306

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