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Individual

DEBRA ANN LESSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1434 BANKSIDE LN, PRESCOTT, AZ 86305-5833
(219) 771-5585
Mailing address
1434 BANKSIDE LN, PRESCOTT, AZ 86305-5833
(219) 771-5585

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5566
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104153816
VHA
AZ
Enumeration date
11/17/2009
Last updated
01/22/2021
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