Leazenby, Lisa

Leazenby, Lisa is an individual health care provider with primary practice located at 1373 Fillmore St , Twin Falls ID 83301-3392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leazenby, Lisa can be contacted via phone (208) 737-9999.

Contact Information

Primary practice address
1373 Fillmore St Twin Falls ID 83301-3392
Phone: (208) 737-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28119323A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1387A Idaho

Profile Details

NPI number 1437124658
LBN Legal business name Leazenby, Lisa
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 19th, 2015 - about 11 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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