Lestock, Brenda Lee

Lestock, Brenda Lee is an sole proprietor health care provider with primary practice located at 1755 Rustic Timbers Ln Apt 205 , Prescott AZ 86303-6902. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Lestock, Brenda Lee can be contacted via phone (330) 903-1018.

Contact Information

Primary practice address
1755 Rustic Timbers Ln Apt 205 Prescott AZ 86303-6902
Phone: (330) 903-1018
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1033 Arizona
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1361 Ohio

Profile Details

NPI number 1396162079
LBN Legal business name Lestock, Brenda Lee
Credentials AT/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2014
Last updated Mar 4th, 2018 - about 8 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 1396162079 NPPES
Arizona Other 2255A2300X CERTIFIED ATHLETIC TRAINER

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