# LEANONME GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Leanonme Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891206553
- **Authorized official:** ABARA DIBAKI (MANAGER)
- **Authorized official phone:** (972) 299-0145

## Contact information

- **Practice address:** 5002 CHARISMA DR, MIDLOTHIAN, TX 76065-8843
- **Practice address phone:** (972) 299-0145
- **Mailing address:** 5002 CHARISMA DR, MIDLOTHIAN, TX 76065-8843
- **Mailing address phone:** (972) 299-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 10/20/2017