Lopez, Leslie A

Lopez, Leslie A is an individual health care provider with primary practice located at 3333 Burnet Ave Ml 4002 , Cincinnati OH 45229. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lopez, Leslie A can be contacted via phone (513) 636-4688.

Contact Information

Primary practice address
3333 Burnet Ave Ml 4002 Cincinnati OH 45229
Phone: (513) 636-4688
Fax: (513) 636-3800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.021043 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.021043 Ohio

Profile Details

NPI number 1508388083
LBN Legal business name Lopez, Leslie A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2017
Last updated Aug 16th, 2023 - about 3 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 1508388083 NPPES
Ohio MEDICAID 0236149

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