Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 722447 | TX |
NPI | 1083886709 |
---|---|
Provider Name | M'ral Lejsek |
First Address | Spring, TX 77389-4228 |
Second Address | Sunrise, FL 33323-2843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 02/04/2008 |