Individual
MRS. LOIS L. LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4610 S 12TH ST, PHOENIX, AZ 85040-2314
(602) 232-4923
(602) 243-4961
Mailing address
4602 S 15TH ST, PHOENIX, AZ 85040-2324
(602) 243-7645
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN051793
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
761884
AHCCCS
AZ
Enumeration date
04/05/2007
Last updated
07/08/2007
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