Lori A Leaseburge
Obstetrician
1891 Beach Blvd Suite 200
Jacksonville
, Florida 32250-2644
Lori A Leaseburge
Obstetrician
1891 Beach Blvd Suite 200
Jacksonville
, Florida 32250-2644
(904) 249-2047
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Lori A Leaseburge
- 1891 Beach Blvd Suite 200
- Jacksonville, FL
- Zip : 32250-2644
- Fax : (904) 249-2047
- Phone : (904) 249-3743
Second Address
- Lori A Leaseburge
- 1891 Beach Blvd Suite 200
- Jacksonville, FL
- Zip : 32250-2644
- Fax : (904) 249-2047
- Phone : (904) 249-3743
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Is Lori A Leaseburge a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | ME93918 | FL |
National Provider Identifier
| NPI | 1275628455 |
|---|---|
| Provider Name | Lori A Leaseburge |
| First Address | Jacksonville, FL 32250-2644 |
| Second Address | Jacksonville, FL 32250-2644 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 01/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 273607100 | (05) | FL |
| H38189 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.