# LESLEY ELLEN BRINKMAN-MOSIMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649340019
- **Gender:** F
- **Credential:** M. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 036-076129 | IL | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME141553 | FL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 06/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036076129 | — | IL |
| 01 | — | 9032006 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | LM689 | MEDICARE | FL |